Register Online

We are currently accepting application forms for the 2026 camp season. Please fill out ALL fields of this form. If you have any questions or concerns you'd like to discuss with us, please contact us at 501-217-0053 or [email protected]

Please note that one registration form per child is needed.

We look forward to a wonderful year of learning and growth.

Camper Profile
 
First Name
Last Name
Hebrew Name
DOB
Age
School
Grade Entering
Hebrew Reading Proficiency None Somewhat Well
Previous Jewish Education Yes No
Where?

 

Parent Information
 
Address
City/Zip
Phone
Email Address
Father's Name
Father's Cell
Mother's Name
Mother's Cell

 

Emergency Information
 
Emergency Contact 1
Phone
Emergency Contact 2
Phone
Doctor's Name
Doctor's Phone Number

 

CONFIDENTIAL: Does your child have any allergies or other medical condition we should be aware of? If yes, please describe them and indicate special precautions or care needed.

Any other information or comments about special abilities, habits, behavior or other: 

 

As the parent(s) or legal guardian of the above child, I/we authorize any adult acting on behalf of Camp Gan Israel to hospitalize or secure treatment for my child, I further agree to pay all charges for that care and/or treatment. It is understood that if time and circumstances reasonably permit, Camp Gan Israel personnel will try, but are not required, to communicate with me prior to such treatment. I hereby give permission for my child to participate in all camp activities, join in camp trips on and beyond camp properties and allow my child to be photographed while participating in Camp Gan Israel activities and that these pictures may be used for marketing purposes.

I Accept

Name: Initials:

We look forward to a wonderful summer!

 

Pay Online
Please register my child for

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First Name
Last Name
Address
City
State
Zip
Amount $
Card Number
Card Type
Exp. Date
CVV Security Code