REGISTRATION PART 1 SUMMER DAY CAMP - ........................................................................................

Gan Izzy Day Camp Registration - Part One
A day camp for Jewish children, celebrating our traditions.

To secure a spot for your child, a $60 non-refundable registration fee is required per camper.
Parent Information
Please fill out all parent information. If Parent is a single parent please enter NA.
Mother's Name*
First Name Last Name
Mother's Cell Phone Number*

Area Code Phone Number
Mother's Work Phone Number

Area Code Phone Number
Mother's Email*
Father's Name*
First Name Last Name
Father's Cell Phone Number*

Area Code Phone Number
Father's Work Phone Number

Area Code Phone Number
Father's Email*
Are the natural parents of the child Jewish?*

Both ParentsMother OnlyFather Only
Camper's information
Camper's Full Name*
First Name Last Name
Camper's Jewish Name

Camper's Address*

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

Camper's Home Phone Number

Area Code Phone Number
Gender*

MaleFemale
Boys entering 6th and 7th grade. Please email the office at [email protected] and confirm that there is space for the weeks your son would like to attend Gan Izzy this summer.
Camper's Age.* Boys 5 - 11 year olds
Camper's Age* Girls 5 - 13 years old
Camper's Birth Date*

Month Day Year
Grade Entering September 2025*
Next School Year
School Attending *
Hebrew School Attending (if Any)

PLEASE READ

With to current rise of costs, in order to make camp more affordable for families, Gan Izzy Day Camp will offer two pricing tiers.

Please choose from the pricing options below. Your choice is completely optional.

RATE A- This rate most accurately accounts for the costs of camp. This includes staffing, facility rentals, swimming, programming, camp administration, insurance, utilities, etc.

Choosing this tier gives you an opportunity to help us do more each day. You help us stretch our limited scholarship funds further so more children can experience the power of camp. If you are able to pay this amount, please do so. Thank you!

RATE B - Our SUBSIDIZED rate. This reduced rate is made possible through the funding dollars we receive from individual donors who value the impact that the summer camp experience at Gan Izzy has on children, youth, individuals and families. This rate makes the camp experience available to more families. Please, choose this rate if you feel this is right for your family.

If you cannot afford either of the rates and need additional assistance, register using Rate B and then please fill out a scholarship application at www.ganizzy.info/scholarship

Summer 2025 Rates
Options	Rate A	Rate B
All Sessions June 23 - July 25	$1975	$1550
1^st Session June 23 - July 3	$790	$620
2^nd Session July 7 - July 25	$1185	$930
Weekly Option	$395	$310

Please select the rate that works for you*

Rate A, This rate most accurately accounts for the costs of campRate B, Our SUBSIDIZED rate
Sessions Attending
Please select which session of camp your child will be attending*
Please select which session of camp your child will be attending.*
Please Select the weeks your child will be attending

Week 1 June 23- June 27Week 2 June 30 - July 3Week 3 July 7 -July 11Week 4 July 14 - July 18Week 5 July 21 - July 25
Please select the weeks your child will be attending

Week 1 June 23 - June 27Week 2 June 30 - July 3Week 3 July 7 -July 11Week 4 July 14 - July 18Week 5 July 21 - July 25
Payment
A $60 registration fee will be charge in additional to the camp tuition.
Please choose how you would like to pay*

Charge my credit card in full nowDivide my payments into 2 instalments to be paid in full by June 1stDivide my payments into 3 instalments to be paid in full by June 1stDivide my payments into 4 instalments to be paid in full by June 1stDivide my payments into 5 instalments to be paid in full by June 1stDivide my payments into 6 instalments to be paid in full by June 1st
Total includes camp tuition, and the $60 registration fee.
Total

$0.00
1) Please note the credit credit will be charged manually so it might take a couple of days to see the charge on your credit card.

2) Part 2 registration
Please fill out part 2 registration at www.ganizzy.info/register2 before May 15th.
When filling out part 2 registration you will have the option to add T-shirts, Transportation, PreCare or Aftercare. If you choose any of the above options, you will be charged separately for these fees when submitting the part 2 registration.

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

Security Code*
Should be Empty:

Gan Izzy Day Camp Registration - Part One

A day camp for Jewish children, celebrating our traditions.

Parent Information

Camper's information

Sessions Attending

Payment