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Winter Camp 2015
About
Schedule!
Registration
Lunch Form
Calendar of Events
 

F.R.E.E. Winter Trip Camp II Monday, February 16- Friday, February 20


Register Today for a week of unforgettable fun!

 


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Winter Camp II 2015 Registration

Camper/Parent Information
Child 1 Name
First
Middle
Last
DOB
        Age:
Child 2 Name
First
Middle
Last
DOB
        Age:
Child 3 Name

First
Middle
Last
DOB
        Age:
Address
 Street
City
State, Zip
Contact Info
 Phone
Email
Schools
 School
Hebrew School Grade:
Child's Mother
 Mother's Name
 		Work Phone
Cell
Child's Father
 Father's Name
Work Phone
Cell
Emergency Contact Info
 Name
Phone
Relationship
Pediatrician
 Name
Phone
 

Email

  

 

Winter Camp Fees & Dates:
 
  
Fees
 $175 Full Week
$40 a Day
Camp Dates

 10:00am - 4:00pm
Please check the days that your child will be attending:
Monday, February 16  
Tuesday, February 17 
Wednesday, February 18
Thursday, February 19
Friday, February 20 (Early dismissal: 2:00 PM)

From 10:00am - 4:00pm

 Camp T-shirt - $10 (mandatory)

**Note: Please complete the camp lunch form for meal requests.  Thank you!** 
Payment and agreements
•
 All forms must be completed and submitted for the Winter Camp in order to secure a place for your child.
•

Credit Card Number  Exp  CVV
If the billing address does not match address above, please fill it out in the comments section below.
Promo Code: 
Total $ (including T-shirt)
I have read the camp brochure and application form and agree to the terms stated. I give my child permission to attend all trips, and receive medical care in the case of emergency.
Also, I give FREE Winter Camp permission to photograph and videotape my children and use the photos and videos for whatever the camp sees fit.

 

Print name of parent filling out form

After you form is complete please fill out the lunch form.
Comments:

 

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A branch of the world's largest Jewish Camping network, Camp Gan Israel International

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