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Registration Summer 2020 

CAMP DATES: JUNE 22ND - AUGUST 12TH

Please fill out the form below carefully. When you press submit, this form will be sent to our administration office. 

Note: Please use a separate form for each child.

Camper/Parent Information
Name
  First
Middle
Last
Hebrew
Address
  Street City
State
Zip
Date of Birth
 

Date of Birth (mm/dd/ccyy)

Gender

   
Contact Info
  Home Phone
Mother Email
Father Email

Schools
  School
Hebrew School Entering Grade (9/20):
Child's Mother
  Mother's Name
Hebrew Name Cell Phone
 
Child's Father
  Father's Name
Hebrew Name Cell Phone
 
Pediatrician
  Name
Phone
   

Please indicate which age group your child will be attending:

 

TODDLER - AGES 2 BY OCT. 15TH 2020

9:00AM - 1:00PM (Dismissal 12:45PM)

 

NURSERY - AGE 3 BY OCT. 15TH 2020

9:00AM - 3:00PM (Dismissal 2:45PM)

 

TRANS NURSERY - AGE 3 BY JAN. 15TH 2021

9:00AM - 3:00PM (Dismissal 2:45PM)

 

PRE-K - KINDERGARTEN - GRADE 1
GRADE 1 - BOYS/GIRLS SEPARATED

9:00AM - 3:00PM (Dismissal 2:45PM)
Fridays 9:00AM - 2:00PM (Dismissal 1:45PM)

 

OLDER DIVISION
GRADE 2 - 6 (BOYS/GIRLS SEPARATED)

9:00AM - 4:00PM (Dismissal 3:45PM)
Fridays 9:00AM - 2:15PM (Dismissal 2:00PM)

Please indicate when your child will be attending camp:

ENTIRE SUMMER (JUNE 22 - AUGUST 12)

Week 1 - June 22 - June 26

Week 2 - June 29 - July 2 (No camp July 3, 4th of July) 

Week 3 - July 6 - July 10

Week 4 - July 13 - July 16

Week 5 - July 20 - July 24

Week 6 - July 27 - July 31 (No camp July 30 - 9 of Av)

Week 7 - August 3 - August 7

Week 8 - August 10 - August 12 (3 Days Only)

   

EARLY/EXTENDED CARE OPTIONS: 

8:30AM - 9:00AM - ENTIRE SUMMER $200 / WEEKLY $40 
1:00PM - 3:00PM TODDLERS (Fri 2:00pm) - ENTIRE SUMMER $500 / WEEKLY $80  
3:00PM - 4:00PM (Fri 2:00pm) - ENTIRE SUMMER $250 / WEEKLY $40 

*** 

HOT LUNCH OPTIONS

MONDAYS THRU FRIDAYS

 THE COST PER CHILD:

FULL SESSION - $200 / PER WEEK - $28  
WEEK 2 - $24 - WEEK 6 - $22 WEEK 8-$18

FRIDAY PIZZA ONLY - $24 FULL SESSION / $4 PER WEEK
 

     
Registration  

A NON REFUNDABLE $500 DEPOSIT MUST BE PAID AT THE TIME OF REGISTRATION AND TUITION PAID BY BY MAY 1. THIS DEPOSIT WILL BE APPLIED TOWARDS THE TOTAL PRICE OF CAMP. 

CAMP TUITION & SECURITY RATES:
   
SECURITY FEE   
ENTIRE SUMMER $80 / WEEKLY RATE $10
 
TUITION 
TODDLER
ENTIRE SUMMER $1,995 / WEEKLY RATE $300 
 
NURSERY/TRANS N
ENTIRE SUMMER $2,495 / WEEKLY RATE $375 

PRE-K THRU 1ST
ENTIRE SUMMER $2,495 / WEEKLY RATE $375

OLDER DIVISION
ENTIRE SUMMER $2,595 / WEEKLY RATE $400 

* GROUP DEALS AVAILABLE FOR NURSERY THRU OLDER DIVISION

PAYMENT

Option:

 

Check (for the deposit or full payment) payable to Lubavitch on the Palisades
Credit Card (A 3% charge will be added to credit card payments)

Name on Card

 

Card Number

 

Expiration Date

 

Security Code

 

Total Amount

 
Signature: Date of Application:


If the billing address for the credit card is different then the address above, please indicate the address in the comments below.

COMMENTS: (DO NOT INCLUDE FRIEND REQUESTS)

 

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Camp Gan Israel of Tenafly 11 Harold Street Tenafly, NJ 07670-1819 201-871-1152 Ext. 559
A branch of the world's largest Jewish Camping network, Camp Gan Israel International

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