Registration 2022

Click here for dates, rates and discounts.
Note: Please use a separate form for each child.
Camper Information
Camper's Full Name*
First NameLast Name
Birth Date*
MonthDayYear
Gender*
Hebrew Name*
Home Phone Number*
Area CodePhone Number

Home Address*

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

School*
Entering Grade*
Did your child attend CGI last Summer*
YesNo
Child's Mother*Is the child's biological Mother Jewish? If not, please email the conversion certificate to [email protected]
YesNo
Parent Information
Parent's Marital Status*
MarriedDivorced
Father's Information
Father's Full Name*
First NameLast Name
Father's E-mail*
Father's Cell Phone*
Area CodePhone Number
Mother's Information
Mother's Full Name*
First NameLast Name
Mother's E-mail*
Mother's Cell Phone*
Area CodePhone Number
Specials Rates
Payments for campers receiving a Group discount must be received in full within 4 weeks of submitting this application.
Click one or more of the following options when requesting a special rate
GroupSibling
Name of Group Leader
First NameLast Name
Registration and Payment Info
Camp Dates*Indicate when your child will be attending camp
Full SessionWeek 1: June 27 - July 1Week 2: July 5 - July 8Week 3: July 11 - July 15Week 4: July 18 - July 22Week 5 July 25 - July 29Week 6: Aug. 1 - Aug 5Week 7: Aug. 8 - Aug 12Week 8: Aug. 15-Aug. 17
After-Care Attendance DatesAfter-Care for Toddlers and Pre-K thru 1st Grade ONLY. See Dates and Rates for details
Full SessionWeek 1: June 27 - July 1Week 2: July 5 - July 8Week 3: July 11 - July 15Week 4: July 18 - July 22Week 5 July 25 - July 29Week 6: Aug. 1 - Aug 5Week 7: Aug. 8 - Aug 12Week 8: Aug. 15-Aug. 17
I agree to pay the deposit of*Deposit will be applied towards the total price of Camp. Full payment due upon receipt
$500
Total Amount Due Today
$0.00

Payment*

Credit Card Check

Postal / Zip Code

Country

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Camper Information

Parent Information

Father's Information

Mother's Information

Specials Rates

Registration and Payment Info