Registration Summer 2025 - ChabadFtLauderdale.com

REGISTRATION IS NOW OPEN

DEADLINE TO REGISTER IS MAY 15 2025

Mini Gan

Children ages 2.5 Yeas Old - 5 Years old

Location: Synagogue of Inverrary Chabad - 6700 nw 44th Street Lauderhill FL 33319

CAMP GAN ISRAEL

CHILDREN AGES 6-12
Camp Gan Israel is a camp dedicated to enriching the lives of children from diverse Jewish backgrounds and affiliations through a stimulating camping experience. CGI is part of the largest and fastest growing network of day camps, enjoying a reputation as a pioneer in Jewish camping, with innovative ideas and creative activities, to both provide enjoyment and inspire children to try new and exciting things!
1) Child/ren’s Information
I would like to sign up the following amount of children:*
Child 1*
First Name Middle Name Last Name
Child 1 Department*

Mini Gan (Children ages 2.5 Yeas Old - 5 Years old)Gan Izzy (CHILDREN AGES 6-12)
Child 1 Mini Gan Group*
Child 1 Gan Izzy Group*
Child 1 Gender*

MaleFemale
Child 1 Which Weeks*

Week 1Week 2Week 3Week 4Week 5Week 6Week 7All 7 Weeks
Child 2*
First Name Middle Name Last Name
Child 2 Department*

Mini Gan (Children ages 2.5 Yeas Old - 5 Years old)Gan Izzy (CHILDREN AGES 6-12)
Child 2 Mini Gan Group*
Child 2 Gan Izzy Group*
Child 2 Gender*

MaleFemale
Child 2 Which Weeks*

Week 1Week 2Week 3Week 4Week 5Week 6Week 7All 7 Weeks
Child 3*
First Name Middle Name Last Name
Child 3 Department*

Mini Gan (Children ages 2.5 Yeas Old - 5 Years old)Gan Izzy (CHILDREN AGES 6-12)
Child 3 Mini Gan Group*
Child 3 Gan Izzy Group*
Child 3 Gender*

MaleFemale
Child 3 Which Weeks*

Week 1Week 2Week 3Week 4Week 5Week 6Week 7All 7 Weeks
Child 4*
First Name Middle Name Last Name
Child 4 Department*

Mini Gan (Children ages 2.5 Yeas Old - 5 Years old)Gan Izzy (CHILDREN AGES 6-12)
Child 4 Mini Gan Group*
Child 4 Gan Izzy Group*
Child 4 Gender*

MaleFemale
Child 4 Which Weeks*

Week 1Week 2Week 3Week 4Week 5Week 6Week 7All 7 Weeks
If you have additional children please contact us.
2) Parent information
Phone Number*

Area Code Phone Number
E-mail

Address*

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

Mother's info
First Name Last Name
Work Phone

Area Code Phone Number
E-mail Primary email
Cell Phone

Area Code Phone Number
Father's info
First Name Last Name
Work Phone

Area Code Phone Number
E-mail
Cell Phone

Area Code Phone Number
3) Emergency Contact Information
Emergency Contact*
First Name Last Name
Phone Number*

Area Code Phone Number
Relationship*
Pediatrician & Insurance
First Name Last Name
Phone Number

Area Code Phone Number
Insurance
Policy # (for each child)
4) Payment Information
Registration & Security Fee $150 per child

Camp Tuition $325 per child per week (Includes hot lunch, snacks)

DATES: June 30 - August 14 2025

*Full payment needs to be by June 1st

**When paying by credit card- checking the box below to cover the processing fees is required - not optional. Thank you for your understanding and cooperation

ZELLE IS [email protected] or 7868726333

CASHAPP 9546875114
Total

$0.00

I would like to pay today:Full amount$150.00 minimum$
Yes, I'd like to donate the cost of processing this transaction by adding 3.5%
Split payment into:*

One Full PaymentTwo PaymentsThree Payments
Charge me on the following date:*

Form of Payment - (I agree to covering the 3.5% processing fee for credit card payments)*

⚠ You have not yet connected a credit card processor.

Credit Card Zelle, Cashapp or check

Postal / Zip Code

Country

CVV
General comments
Agreement*

I am signing up my child for camp. I give my child permission to receive medical care in the case of emergency, G-d forbid. I give Gan Israel permission to photograph and videotape my children and use the photos and videos (without their names) for whatever the camp sees fit.
Signature of Parent/Guardian*
Date*
Should be Empty:

1) Child/ren’s Information

2) Parent information

3) Emergency Contact Information

4) Payment Information