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Registration



Please fill out the form below carefully. When you press submit, this form will be sent to our administration office.

Note: Please use a separate form for each child.

Camper/Parent Information
Name
  First
Middle
Last
Hebrew
Address
  Street
City
State
Zip
Date of Birth
   
Contact Info
  Phone
Email
 
School
  School
Hebrew School Grade:
Child's Mother
  Mother's Name
Hebrew Name Work Phone
Cell
Child's Father
  Father's Name
Hebrew Name Work Phone
Cell
Emergency Contact Info
  Name
Phone
Relationship
 
Pediatrician
  Name
Phone
   
PAYMENT & FEES:
Fees  

$495.00

 

 

I will be paying by:

Credit Card:
Please click continue below and proceed to process the payment via PayPal.

    Check/Cash:
Please click Continue below, then close the page.
Please contact the camp office to arrange payment location.
Amount   
IMPORTANT
I am aware that my application is not complete without my written signature on all agreements and waivers, which will be sent to me upon administrative approval.
Signature: Date of Application:

 

Press "Continue" below to continue to PayPal to make a payment.

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Camp F.R.E.E. - Gan Israel • 347-850-0408 • 841 Ocean Parkway, Brooklyn, NY 11230
A branch of the world's largest Jewish Camping network, Camp Gan Israel International

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