Registration - Chabad of Placer County, Where every Jew is Family!

Address*

Additional notable Information
Parents Information
Father's Name*
First NameLast Name
Father Cell
Area CodePhone Number
Mother's Name*
First NameLast Name
Mother Cell
Area CodePhone Number
Parent's E-mail*
Agreement*
I am signing up my child for camp. I give my child permission to attend all trips and receive medical care in the case of emergency, G-d forbid. I give Gan Israel permission to photograph and videotape my children and use the photos and videos (without their names) for whatever the camp sees fit.
Payment
Price: $189 a week
My child will be attending:*
Session 1- Camp Gan IsraelSession 2- Camp Gan IsraelSession 3- Camp Gan IsraelSession 4- Camp Gan Israel
Total
$0.00

I would like to pay today: Full amount20% minimum: $0.00 $

Payment

Credit Card

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

100% of the proceeds of this donation or payment benefit Chabad of Placer County.
Should be Empty:

This page uses TLS encryption to keep your data secure.

CAMP GAN ISRAEL REGISTRATION