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* How many children are you registering for Summer 2024?Please Choose 1 2 3 4
Mother/Guardian Information
* Is mother Jewish?Choose One Yes No
Father/Guardian Information
Is father Jewish? Choose One Yes No
*Family Information
*We ask these questions in order to better understand and relate to each child.
* Any religious conversions or adoptions in the immediate family?Please Choose No Yes
* Grade Entering Fall 2024Please Select One Pre-K (3 & 4 year old) Kindergarten 1st 2nd 3rd 4th 5th 6th 7th
* T-Shirt SizePlease Select One Youth X-Small Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult X-Large
Camper 1 will attend:
To avoid overpayment, please select EITHER the entire summer OR: individual session AND/OR individual week(s).
* Grade Entering Fall 2024Please Select One Pre-K (3 & 4 year old) Kindergarten 1st 2nd 3rd 4th 5th 6th 7th
* T-Shirt SizePlease Select One Youth X-Small Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult X-Large
Camper 2 will attend:
To avoid overpayment, please select EITHER the entire summer OR: individual session AND/OR individual week(s).
* Grade Entering Fall 2024Please Select One Pre-K (3 & 4 year old) Kindergarten 1st 2nd 3rd 4th 5th 6th 7th
* T-Shirt SizePlease Select One Youth X-Small Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult X-Large
Camper 3 will attend:
To avoid overpayment, please select EITHER the entire summer OR: individual session AND/OR individual week(s).
* Grade Entering Fall 2024Please Select One Pre-K (3 & 4 year old) Kindergarten 1st 2nd 3rd 4th 5th 6th 7th
* T-Shirt SizePlease Select One Youth X-Small Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult X-Large
Camper 4 will attend:
To avoid overpayment, please select EITHER the entire summer OR: individual session AND/OR individual week(s).
Permission, Release & Waiver of Liability:
By completing this enrollment form and entering my digital signature below, I as the parent or legal guardian of the above child(ren) hereby release Chabad of Lakeview from any and all liability arising from claims for injuries or damages that either individually or on behalf of my child might occur during participation in Camp Gan Israel activites. I authorize any adult acting on behalf of Chabad of Lakeview's Camp Gan Israel program to treat, hospitalize, or secure treatment for my child. I further agree to pay all charges for that care and/or treatment. It is understood that if time and circumstances reasonably permit, Camp Gan Israel personnel will try, but are not required, to communicate with me prior to such treatment. I hereby give permission for my child to participate in all camp activities and field trips. I understand that my child may be photographed while participating in Camp Gan Israel activities and that these pictures may be used for marketing purposes. By electronically signing my name below, I accept these terms and conditions.