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Camp Gan Israel West Bay - Registration Form 2024
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* Indicates required question
Child's Information below
Child's Full Name
*
Your answer
Childs Hebrew Name
Your answer
Address: Street, City, State Zip
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Age
*
Your answer
Mother's Name (and Hebrew Name)
*
Your answer
Father's Name (and Hebrew Name)
Your answer
Emergency contact, other than the parents?
*
Your answer
Emergency contact's phone number?
*
Your answer
School Information below
What grade was your child in?
Your answer
Which school was your child enrolled in?
Your answer
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