Camper Application - ChabadSI.com
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Camper Application

  • REGISTRATION FOR CAMP 2024 IS NOW CLOSED. PLEASE EMAIL [email protected] TO INQUIRE IF WE CAN ACCOMMODATE YOUR CHILD PLEASE DO NOT FILL OUT A SUBMISSION HERE, AS WE MAY NOT BE ABLE TO HONOR IT.

  • 1. Child/ren’s Information

  • If you would like to register additional children, please contact us.

  • 2. Parent information

  • 3. Emergency & Special Needs Information

  • In order to create an effective and positive camp environment for everyone, please provide the following information for your child. All information will be handled with care and held in confidence

  • Please email your child's IEP or 504 to the camp office

  • 4. Payment Information

  • Being that Camp begins in under month, full payment is required at time of registration

  • $0.00
  • Credit Card
  • Please contact the Camp office for special requests.

    • I grant permission for my child to participate in all camp activities, including swimming and trips away from camp grounds (dates and destinations to be provided at a later date).
    • I understand that if my application is not filled out completely or the required payments are not enclosed, my application will not be processed and will be returned.
    • I agree to disclose any behavioral help my child receives during the school year, to ensure that Camp has the ability to accommodate my child's needs.
    • I agree that my child may be photographed, and their pictures may be used in future camp promotional materials, including, but not limited to the brochure and the Gan YISI website.
    • No camper will be permitted into camp without all forms completed (including medical and application) and all financial obligations satisfied.
    • Gan YISI is not responsible for personal property brought to camp.
    • If the Camper’s conduct is harmful to the best interests of Gan YISI Day Camp, the Camper may be dismissed at the sole discretion of the Director with no refund nor reduction of fee.
    • I will settle my financial obligations to camp before camp starts
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