Camp Gan Israel 2027: June 28 - July 9

Registration is open for Summer 2027!
Child's Information
Child's Name*
First Name Last Name
Birth Date*

Month Day Year
Gender*

MaleFemale
Please check all that are appropriate*

Child was born to a Jewish motherThere are conversions to Judaism in the child's maternal familChild is not Jewish but interested in attending Gan IzzyChild is adopted in to a Jewish family
T-Shirt*
School Information
Name of School*
Grade Entering in September 2027*
Is your child enrolled in a Hebrew School?*

YesNoNo, but I am interested in finding out more information about the CKids Jewish Enrichment Club
Parent/Guardian Information
Parent/Guardian 1*
First Name Last Name
Phone Number*
E-mail*
I would like to receive news and updates from Chabad-Lubavitch of Nebraska by email. I understand that information I provide to Chabad-Lubavitch of Nebraska will be used according to its Privacy Policy and I can unsubscribe at any time.

Address*

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

Marital Status

MarriedSingleDivorce/Separated
Parent/Guardian 2
First Name Last Name
Phone Number

Address (If different from above)

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

Emergency Contact
*

Same as aboveDifferent from above (I'd like to add another contact person)
Emergency/Additional Contact
First Name Last Name
Phone Number
Relationship to the child
How did you hear about us?

MailerEmailFacebookInternet SearchAttended previouslyFriend
Do you want to register another child?*

YesNo
Child's Information (2)
Child's Name (2)
First Name Last Name
Birth Date (2)

Month Day Year
Gender (2)

MaleFemale
Please check all that are appropriate (2)

Child was born to a Jewish motherThere are conversions to Judaism in the child's maternal familChild is not Jewish but interested in attending Gan IzzyChild is adopted in to a Jewish family
T-Shirt (2)
School Information (2)
Name of School (2)
Grade Entering in September 2027 (2)
Is your child enrolled in a Hebrew School? (2)

YesNoNo, but I am interested in finding out more information about the CKids Jewish Enrichment Club
Do you want to register another child?*

YesNo
Child's Information (3)
Child's Name (3)
First Name Last Name
Birth Date (3)

Month Day Year
Gender (3)

MaleFemale
Please check all that are appropriate (3)

Child was born to a Jewish motherThere are conversions to Judaism in the child's maternal familChild is not Jewish but interested in attending Gan IzzyChild is adopted in to a Jewish family
T-Shirt (3)
School Information (3)
Name of School (3)
Grade Entering in September 2027 (3)
Is your child enrolled in a Hebrew School? (3)

YesNoNo, but I am interested in finding out more information about the CKids Jewish Enrichment Club
Do you want to register another child?*

YesNo
Child's Information (4)
Child's Name (4)
First Name Last Name
Birth Date (4)

Month Day Year
Gender (4)

MaleFemale
T-Shirt (4)
Please check all that are appropriate (4)

Child was born to a Jewish motherThere are conversions to Judaism in the child's maternal familChild is not Jewish but interested in attending Gan IzzyChild is adopted in to a Jewish family
School Information (4)
Name of School (4)
Grade Entering in September 2027 (4)
Is your child enrolled in a Hebrew School? (4)

YesNoNo, but I am interested in finding out more information about the CKids Jewish Enrichment Club
Permissions and Waiver

Check each box after reading the waiver.
In the event that neither parent nor the emergency person can be contacted, Camp Gan Israel has my permission to render any necessary first aid or to secure care by a physician to my child while attending camp.*

I agree.
I hereby give permission for my child to be taken off-campus on all outings by Camp Gan Israel for Field trips. This completed form may be photocopied for outings. I give permission to Camp Gan Israel to use camp photos of my children in any camp publicity.*

I agree.
I understand that Gan Israel Day Camp is carrying limited liability insurance protecting the camp premises against physical damage and covering the camp staff against negligence. Nevertheless, I agree to accept complete responsibility for damages caused by my child and for injuries incurred and agree to hold Chabad of Nebraska and Camp Gan Israel and its staff harmless and I hereby release said parties from all liability except in cases of gross negligence.*

I agree.
Payment
RATES

Mini Camp (2.5-4 years old): $300 per week

Main Camp (5-9 years old): $250 per week

Pioneers (10-13 years old): $250 per week

Daily rate (for all levels): $75 per day

Before and after care available at $5/hour

All food and snacks are included on the registration fee.
Registering for

Mini Camp: Week 1Mini Camp: Week 2Mini Camp: Weeks 1 and 2Main Camp/Pioneers: Week 1Main Camp/Pioneers: Week 2Main Camp/Pioneers: Weeks 1 and 2Mini Camp/Main Camp/Pioneers: 1 Day
Number of Kids* Registering for 1 week of Mini Camp
Number of Kids* Registering for 2 weeks of Mini Camp
Number of Kids* Registering for 1 week to the Main or Pioneers Camp
Number of Kids* Registering for 2 weeks of Main or Pioneers Camp
Number of Kids* Registering for 1 day of Mini, Main or Pioneers Camp
Date attending camp*

Month Day Year
Before and after care may be added after camp begins, but requests must be made at least one day in advance to ensure appropriate staffing.
Extra: Before Care (8-9am) $5 per day
Extra: After Care (3-4pm) $5 per day
If you are availing the before/after care service, please note the date/s here:
Total

$0.00

Payment

Credit Card Paypal Check or Cash

Postal / Zip Code

Country

Should be Empty:

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Registration is open for Summer 2027!

Child's Information

School Information

Parent/Guardian Information

Emergency Contact

Child's Information (2)

School Information (2)

Child's Information (3)

School Information (3)

Child's Information (4)

School Information (4)

Permissions and Waiver

Payment