Printed from ChabadFortLee.com

Camp Gan Israel

fun forever!

Register

Camp Gan Israel at Chabad of Fort Lee: June 18 through July 27. (2018)
To register, please fill out carefully. Tuition for the six week summer program is $1800.
There is a $500 registration fee which will be applied to tuition.

When you press submit, this form will be sent to our administration office.
Note: Please use a separate form for each child.
Child's Name*
First NameLast Name
Hebrew Name*
Birth Date*
MonthDayYear
School*
Previous Jewish Education*
Grade entering*

Address*

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

E-mail
Father's Name*
First NameLast Name
Father's Cell
Area CodePhone Number
Mother's Name*
First NameLast Name
Mother's Cell
Area CodePhone Number
Pediatrician*
First NameLast Name
Pediatrician's Phone
Area CodePhone Number
Payment
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Registration FeeFull Tuition
Total
$0.00

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