Camp Gan Israel Registration

Add 2nd Camper

2nd Camper Name

First NameLast Name

2nd Camper Birth Date

MonthDayYear

Sign up for 1, 2 or 3 weeks. $325 per week- 2nd camper

July 7-11July 14-18July 21-25All Three! July 7-25

2nd Camper Gender

MaleFemale

2nd Camper Grade Entering

2nd Camper T-Shirt Size

Youth SmallYouth MediumYouth LargeOther

Add 3rd Camper

3rd Camper Name

First NameLast Name

3rd Camper Birth Date

MonthDayYear

Sign up for 1, 2 or 3 weeks. $325 per week- 3rd camper

July 7-11July 14-18July 21-25All Three! July 7-25

3rd Camper Gender

MaleFemale

3rd Camper Grade Entering

3rd Camper T-Shirt Size

Youth SmallYouth MediumYouth LargeOther

Parents Name*

First NameLast Name

E-mail*

Comments:

Total:

Payment*

Pay by Check: Mail to Chabad Jewish Center, 9604 NE 126th Ave., Vancouver, WA 98682Pay by Credit Card

Help a Child!

Give a child a week of fun! $325.00 DonationOther

Total Amount:

USDCamp

Credit Card

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Last Name

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Street Address Line 2

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