Registration 2025 - chabadeh.com

If your child's age group says Wait List, DO NOT REGISTER, as that group is currently full. You can add your child to the wait List & we will notify you if there is space.

Please click here to be added to the waitlist.

Group Availability Summer 2025

Toddler 18-24 months - FULL
2 Yrs - FULL
3 Yrs - Almost Full
4 Yrs - FULL
5 Yrs - Almost Full
6 Yrs Almost Full
7 Yrs - Almost Full
8 Yrs - Almost Full
9 Yrs - Almost Full
9 -13 Yrs Boys - Almost Full
10 - 13 Yrs Girls - Almost Full
1. Parent information
Father's info*
Fathers First Name Fathers Last Name
Cell Phone*

Area Code Phone Number
Work Phone

Area Code Phone Number
E-mail*
Mother's info*
Mothers First Name Mothers Last Name
Cell Phone*

Area Code Phone Number
Work Phone

Area Code Phone Number
E-mail* Primary email

Home Address*

Home Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

2. Child's Information
Number of children registering for camp*
Child 1: Name*
First Name Middle Name Last Name
Child 1: Birth Date*

Month Day Year
Child 1: Gender*

MaleFemale
Child 1: Grade Entering August 2025*
Child 1: Age Sept 1 2025*
Child 1: School Currently Attending*
Child 1: Allergies or medical concerns*
Child 1: Weeks*

Full Summer ( June 24 - August 7)Week 1 (June 24 - June 27)Week 2 (June 30 - July 3)Week 3 (July 7 - July 11)Week 4 (July 14 - July 18)Week 5 (July 21 - July 25)Week 6 (July 28 - August 1)Week 7 (August 4 - August 7)
Child 1: Sessions*

Full Summer (7 weeks, June 24 - August 7)Session1 (4 weeks,June 24 - July 18)Session 2 (3 weeks, July 21 - August 7)
Child 1: Pre & After Care*

Early Care 8:00 -9:00amAfter Care 3:30 - 5:30pm (3:30pm Friday )Both Early Care & AftercareNo Early Care & Aftercare
Child 1: Bus Transportation*

Bus Transportation from Hollywood (Ages 5+) $15 per weekBus Transportation from Chai Tots (Ages 5+) $15 per weekNo Bus Transportation needed
Child 1: Full Day / Half Day*
Child 2: Name*
First Name Middle Name Last Name
Child 2: Birth Date*

Month Day Year
Child 2: Gender*

MaleFemale
Child 2: Grade Entering August 2025*
Child 2: Age Sept 1 2025*
Child 2: School Currently Attending*
Child 2: Allergies or medical concerns*
Child 2: Weeks*

Full Summer ( June 24 - August 7)Week 1 (June 24 - June 27)Week 2 (June 30 - July 3)Week 3 (July 7 - July 11)Week 4 (July 14 - July 18)Week 5 (July 21 - July 25)Week 6 (July 28 - August 1)Week 7 (August 4 - August 7)
Child 2: Sessions*

Full Summer (7 weeks, June 24 - August 7)Session1 (4 weeks,June 24 - July 18)Session 2 (3 weeks,July 21 - August 7)
Child 2: Full Day / Half Day*
Child 2: Pre & After Care*

Early Care 8:00 -9:00amAfter Care 3:30 - 5:30pm (3:30pm Friday )Both Early Care & AftercareNo Early Care & Aftercare
Child 2: Bus Transportation*

Bus Transportation from Hollywood (Ages 5+) $15 per weekBus Transportation from Chai Tots (Ages 5+) $15 per weekNo Bus Transportation needed
Child 3 Name *
First Name Middle Name Last Name
Child 3: Birth Date*

Month Day Year
Child 3: Gender*

MaleFemale
Child 3: Grade Entering August 2025*
Child 3: Age Sept 1 2025*
Child 3: School Currently Attending*
Child 3: Allergies or medical concerns*
Child 3: Weeks*

Full Summer ( June 24 - August 7)Week 1 (June 24 - June 27)Week 2 (June 30 - July 3)Week 3 (July 7 - July 11)Week 4 (July 14 - July 18)Week 5 (July 21 - July 25)Week 6 (July 28 - August 1)Week 7 (August 4 - August 7)
Child 3: Sessions*

Full Summer (7 weeks, June 24 - August 7)Session1 (4 weeks,June 24 - July 18)Session 2 (3 weeks,July 21 - August 7)
Child 3: Full Day / Half Day*
Child 3: Pre & After Care*

Early Care 8:00 -9:00amAfter Care 3:30 - 5:30pm (3:30pm Friday )Both Early Care & AftercareNo Early Care & Aftercare
Child 3: Bus Transportation*

Bus Transportation from Hollywood (Ages 5+) $15 per weekBus Transportation from Chai Tots (Ages 5+) $15 per weekNo Bus Transportation needed
Child 4 : Name *
First Name Middle Name Last Name
Child 4: Birth Date*

Month Day Year
Child 4: Gender*

MaleFemale
Child 4: Grade Entering August 2025*
Child 4: School Currently Attending*
Child 4: Age Sept 1 2025*
Child 4: Allergies or medical concerns*
Child 4: Sessions

Full Summer (7 weeks, June 24 - August 7)Session1 (4 weeks,June 24 - July 18)Session 2 (3 weeks, July 21 - August 7)
Child 4: Weeks*

Full Summer ( June 24 - August 7)Week 1 (June 24 - June 27)Week 2 (June 30 - July 3)Week 3 (July 7 - July 11)Week 4 (July 14 - July 18)Week 5 (July 21 - July 25)Week 6 (July 28 - August 1)Week 7 (August 4 - August 7)
Child 4: Full Day / Half Day*
Child 4: Pre & After Care*

Early Care 8:00 -9:00amAfter Care 3:30 - 5:30pm (3:30pm Friday )Both Early Care & AftercareNo Early Care & Aftercare
Child 4: Bus Transportation*

Bus Transportation from Hollywood (Ages 5+) $15 per weekBus Transportation from Chai Tots (Ages 5+) $15 per weekNo Bus Transportation needed
Child 5: Name *
First Name Middle Name Last Name
Child 5: Gender*

MaleFemale
Child 5: School Currently Attending*
Child 5: Birth Date*

Month Day Year
Child 5: Grade Entering August 2025*
Child 5: Age Sept 1 2025*
Child 5: Allergies or medical concerns*
Child 5: Weeks*

Full Summer ( June 24 - August 7)Week 1 (June 24 - June 27)Week 2 (June 30- July 3)Week 3 (July 7 - July 11)Week 4 (July 14 - July 18)Week 5 (July 21 - July 25)Week 6 (July 28 - August 1)Week 7 (August 4 - August 7)
Child 5: Sessions*

Full Summer (7 weeks, June 24 - August 7)Session1 (4 weeks,June 24 - July 18)Session 2 (3 weeks,July 21 - August 7)
Child 5: Full Day / Half Day*
Child 5: Pre & After Care*

Early Care 8:00 -9:00amAfter Care 3:30 - 5:30pm (3:30pm Friday )Both Early Care & AftercareNo Early Care & Aftercare
Child 5: Bus Transportation*

Bus Transportation from Hollywood (Ages 5+) $15 per weekBus Transportation from Chai Tots (Ages 5+) $15 per weekNo Bus Transportation needed
Child 6: Name*
First Name Middle Name Last Name
Child 6: Gender*

MaleFemale
Child 6: School Currently Attending*
Child 6: Birth Date*

Month Day Year
Child 6: Grade Entering August 2025*
Child 6: Age Sept 1 2025*
Child 6: Allergies or medical concerns*
Child 6: Sessions*

Full Summer (7 weeks, June 24 - August 7)Session1 (4 weeks,June 24 - July 18)Session 2 (3 weeks,July 21 - August 7)
Child 6: Weeks*

Full Summer ( June 24 - August 7)Week 1 (June 24 - June 27)Week 2 (June 30 - July 3)Week 3 (July 7 - July 11)Week 4 (July 14 - July 18)Week 5 (July 21 - July 25)Week 6 (July 28 - August 1)Week 7 (August 4 - August 7)
Child 6: Full Day / Half Day*
Child 6: Pre & After Care*

Early Care 8:00 -9:00amAfter Care 3:30 - 5:30pm (3:30pm Friday )Both Early Care & AftercareNo Early Care & Aftercare
Child 6: Bus Transportation*

Bus Transportation from Hollywood (Ages 5+) $15 per weekBus Transportation from Chai Tots (Ages 5+) $15 per weekNo Bus Transportation needed
If you are enrolling more than 6 children please add the additional children in the comments below.
3. Emergency Information
Emergency Contact*
Emergency First Name Last Name
Phone Number*

Area Code Phone Number
Relationship*
Pediatrician *
Doctor First Name Last Name
Phone Number

Area Code Phone Number
Insurance*
Policy #*
4. Payment Information
A $150 non-refundable registration & security fee applies for each child to ensure a spot in our summer program. This fee is not applied towards camp tuition.

Your acceptance & invoice will be emailed to you. The bill needs to be paid in full by May 1st, 2025 to honor the early bird discount.
Total

$0.00

Payment

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

PAYMENTS*

I agree that my card will auto charge the invoice balance in one week from registration. If payment is not received by then, my child/ren spot in camp is not guaranteed.
CARPOOL & CAMPER RELEASE*

Morning carpool runs from 8:55am until 9:15 am and afternoon carpool runs from 3:15pm until 3:30pm for the preschool camp and 3:30 – 3:45 for the older camp. If you arrive at any other time, you must escort your child to /from the office or classroom. To release your child to anyone aside from his/her parents, or authorized for pickup, prior arrangements must be made with the Camp office. Proper identification must be shown each time your child is picked up.
TRIPS AND EXCURSIONS*

I hereby give Camp Gan Israel permission to take my child on all outings and trips and to sign any & all permission slips on behalf of my child.
PERSONAL PROPERTY*

Camp Gan Israel is not responsible for any stolen or lost items brought to camp. Please do not send your child with expensive electronics or toys
UNRULY BEHAVIOR*

Any camper who physically or emotionally harms him/herself or others is subject to suspension at the Camps discretion.
PROPERTY DAMAGE *

Any camp property damaged by a child, will be the responsibility of the parents to fix, replace or reimburse.
SICK/MISSED DAYS*

No refunds will be given for any sick/missed days regardless of the reason.
CANCELLATION POLICY*

After May 1st - With one week advance notice we will credit 50 percent of the unused tuition payment.
WEEK CHANGE*

After May 1st - there is a $75 fee per change to switch weeks enrolled in camp if there is another week available.
MEDIA*

Camp is hereby granted permission to use any photo or video showing your child/ren involved in camp activities.
EMERGENCIES (G-D FORBID)*

If an emergency arises (G-d forbid) and none of the above numbers can be contacted, I hereby give Camp Gan Israel permission to take whatever measure it feels proper and necessary considering circumstances.
VACCINATIONS*

I confirm that all children attending camp are up to date with their vaccinations
General comments
A $150 per child registration fee will be charged when you submit this form. This fee is non refundable and will not be deducted from your summer camp tuition total.
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1. Parent information

2. Child's Information

3. Emergency Information

4. Payment Information