Online Registration

experience the summer of your lifetime

Basic Info

Dates: June 20 – July 15
- Week 1: June 20 – 24
  Week 2: June 27 – July 1
  Week 3: July 5 – 8
  Week 4: July 11 – 15
Registration Required by June 10
Ages: 3-12 (3-14 for girls)
Hours: 9:00AM – 3:00PM
There will be daily swim (unless we have field trips, which is yet to be determined)
Lunch and Snacks will be provided.
Cost:
$220 per week

Parent Info
Mother's Full Name*
First Last
Mother's Cell Phone Number*
Mother's Work Phone Number
Mother's Email*
Father's Full Name*
First Last
Father's Cell Phone Number*
Father's Work Phone Number
Father's Email*
Home Address
Home Address*
Street Address Address Line 2 City State ZIP Code
Emergency Contact Info
Emergency Contact Name*
First Last
Emergency Contact Phone*
Child Registration
How many children are you registering today?
How did you hear of us?*
- Online
- Mailing
- Friend
Camper 1
Name*
First Last
Hebrew Name
First
Gender*
- Male
- Female
Birth Date*
MM slash DD slash YYYY
School Name*
Hebrew School Name (if applicable)
Grade Entering*
Allergies*
- Yes
- No
If Yes What?*
Please tell us about any of your child’s eating habits that we should be aware of.
In the event that we will have sandwiches, how many sandwiches does your child prefer:*
- 1
- 2
Sandwich Preference*
- Tuna
- Peanut Butter
- Jelly
- Peanut Butter and Jelly
Please tell us about behavioral or medical issues that we should be aware of:
My child will be attending*
- Week 1: June 20 – 24
- Week 2: June 27 – July 1
- Week 3: July 5 – 8
- Week 4: July 11 – 15
Tee Shirts*
- 0 (still have from last year)
- 1
- 2
Tee Shirt Size*
- Not Ordering (still have from last year)
- Kids XS
- Kids S
- Kids M
- Adult S
- Adult M
- Adult L
Gan Izzy Hat*
- No
- Yes
Gan Izzy Draw String Bag*
- No
- Yes
Camper 2
Name*
First Last
Hebrew Name
First
Gender*
- Male
- Female
Birth Date*
MM slash DD slash YYYY
School Name*
Hebrew School Name (if applicable)
Grade Entering*
Allergies*
- Yes
- No
If Yes What?*
Please tell us about any of your child’s eating habits that we should be aware of.
In the event that we will have sandwiches, how many sandwiches does your child prefer:*
- 1
- 2
Sandwich Preference*
- Tuna
- Peanut Butter
- Jelly
- Peanut Butter and Jelly
Please tell us about behavioral or medical issues that we should be aware of:
My child will be attending*
- Week 1: June 20 – 24
- Week 2: June 27 – July 1
- Week 3: July 5 – 8
- Week 4: July 11 – 15
Tee Shirts*
- 0 (still have from last year)
- 1
- 2
Tee Shirt Size*
- Not Ordering (still have from last year)
- Kids XS
- Kids S
- Kids M
- Adult S
- Adult M
- Adult L
Gan Izzy Hat*
- No
- Yes
Gan Izzy Draw String Bag*
- No
- Yes
Camper 3
Name*
First Last
Hebrew Name
First
Gender*
- Male
- Female
Birth Date*
MM slash DD slash YYYY
School Name*
Hebrew School Name (if applicable)
Grade Entering*
Allergies*
- Yes
- No
If Yes What?*
Please tell us about any of your child’s eating habits that we should be aware of.
In the event that we will have sandwiches, how many sandwiches does your child prefer:*
- 1
- 2
Sandwich Preference*
- Tuna
- Peanut Butter
- Jelly
- Peanut Butter and Jelly
Please tell us about behavioral or medical issues that we should be aware of:
My child will be attending*
- Week 1: June 20 – 24
- Week 2: June 27 – July 1
- Week 3: July 5 – 8
- Week 4: July 11 – 15
Tee Shirts*
- 0 (still have from last year)
- 1
- 2
Tee Shirt Size*
- Not Ordering (still have from last year)
- Kids XS
- Kids S
- Kids M
- Adult S
- Adult M
- Adult L
Gan Izzy Hat*
- No
- Yes
Gan Izzy Draw String Bag*
- No
- Yes
Total Cost
Price*
Coupon
Total
$0.00
Payment
If you are unable to pay in full now, if you have already paid for camp, or if you prefer to pay by check, please text Rabbi Motti at (215) 834-1178 for more info.
What's your Payment Method?
- Credit Card
- Check
Credit Card
Credit Card
Email Receipt To:
Check
Check should be made out to "Chabad of DE" (please write "Camp" in the memo):
Chabad of Delaware
Attn: Rabbi Motti
1811 Silverside Road
Wilmington, DE 19810
Consent
Closure Consent*
I understand that Camp Gan Izzy may choose to close before or during camp at their discretion based on COVID considerations. Since the situation is unpredictable, there is a slight chance that if registration is not high enough, that camp will have to be cancelled as well. I will not hold this against them and will be understanding if that were to happen. If that were to happen, I will be able to use one of the refund options listed at the bottom of the "Program, Dates and Rates" section."
Coronavirus / COVID-19 Risks*
COVID-19 Coronavirus is an extremely contagious virus that spreads easily through person-to-person contact. COVID-19 can lead to severe illness, personal injury, permanent disability, and death. Participating in Camp Gan Israel can increase the risk of contracting COVID-19. While we are taking precautions to mitigate the risks, Camp Gan Israel in no way warrants that COVID-19 infection will not occur through participation in our programs this summer.

On behalf of myself and my child, I knowingly and freely, assume all such risks, both known and unknown, relating to my child’s participation in Camp Gan Israel and/or arising from or relating to COVID‐19, and I hereby waive, release, hold harmless and agree not to sue Camp Gan Israel, Chabad of Delaware, its employees, agents and representatives concerning any liability arising out of or related to COVID-19 or Camp Gan Israel’s actions or omissions regarding COVID-19 or the pandemic.
Dismissal of a Camper*
Camp Gan Israel reserves the right to dismiss, at its sole discretion, any camper whose condition, conduct, influence or behavior is deemed unsatisfactory or detrimental to the best interests of the camp or fellow campers or who violates camp rules and regulations, in which case no refunds will be made.
Health Guidelines*
I agree to follow all the health guidelines being introduced at camp this summer including checking my child's temperature before coming to camp each morning and not bringing them in if they are displaying a fever, vomiting, diarrhea or other flu symptoms; or after traveling out of the area or being around someone who may have the virus. I understand that all children will be subjected to a health screening before entering camp each morning including an electronic temperature check and they will be sent home if a fever is found.
Medical Care*
In the event of an emergency, serious illness, or accident, Camp Gan Israel has permission to arrange for any necessary first-aid or care by a licensed physician for any child/ren attending camp. Every effort will be made to contact the parent/guardian and emergency contacts first. Should it be necessary for the well being of the camper to utilize outside medical or dental services all expenses involved will be paid for by the parent.

Parents are required to notify CGI in a timely manner of any infectious diseases or infestations acquired by a camper during their participation at camp.
Health Form*
I will mail/email rabbimotti@chabadde.com a health form for my child (will be emailed to parents) before my child starts camp.
Parent Handbook*
I will read the complete Parent Handbook to understand all of the camp requirements and expectations (will be emailed at a later date)
Payment*
The parent who signs this registration form confirms that he/she has full authority to do so, and will be responsible for payment of the camp fees.
Promotional Consent*
I hereby give permission for Camp Gan Izzy to use photograph and video footage of my child for any and all promotional purposes.
Social Distancing & Hygienic Rules*
I understand that there are many new rules and regulations that apply at camp this summer due to the Coronavirus pandemic and that my child will be required to follow social distancing when required, sanitizing and related rules while at camp. Children who cannot follow these rules will be removed from the program without a refund.
Field Trip Permission*
I give my child permission to attend all field trips and swimming trips and receive medical care in the case of emergency.
On-site Activities*
I hereby permit my child to participate in all on-site activities.
Illness*
I understand that my child may be dismissed during a camp day, due to illness, at the discretion of the camp, and I agree to abide by the director's decision.
Required Forms*
I will mail/email rabbimotti@chabadde.com the required forms at least one week before camp (will be emailed at a later date)
Waiving Legal Action*
I, and on behalf of my child, agree not to sue Chabad of Delaware, Camp Gan Izzy of Delaware or any of its employees for any damage, claim or injury that my child may sustain, arising from or relating to any activity or camp experience.
Date of Form*
MM slash DD slash YYYY
Signature*
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Online Registration

experience the summer of your lifetime

Basic Info

Parent Info

Home Address

Emergency Contact Info

Child Registration

Camper 1

Camper 2

Camper 3

Total Cost

Payment

Credit Card

Check

Consent