Welcome! We’re so excited that you’re interested in experiencing Camp Gan Israel Seattle! Our Try a Day program is available for new families only. It’s a wonderful opportunity for your child to experience the fun, friendships, and spirit of Gan Izzy before enrolling for a full week or the full summer. Before completing this form, please call our office or Rabbi Yoni to confirm that your desired trial day is available. Once your date has been confirmed, please complete and submit this form. Parent/Guardian Information Full Name* First Name Last Name E-mail* I would like to receive news and updates by email Phone Number* Camper Information Child 1* First Name Last Name Preferred Name/Nickname (optional) Birth Date* 12345678910111213141516171819202122232425262728293031 Day1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Month20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Year Age* Grade entering this Fall* Gender* MaleFemaleN/A School Attending* Child 2 First Name Last Name Preferred Name/Nickname (optional) Birth Date* 12345678910111213141516171819202122232425262728293031 Day1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Month20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Year Age* Grade entering this Fall* Gender* MaleFemaleN/A School Attending* Confirmed Trial Day * Month Day Year Medical & Safety Information Does your child have any allergies? If YES, please explain Does your child have any medical conditions we should know about? Does your child take any medications during camp hours? If YES, please explain Is there anything that would help us ensure your child has a successful day at camp? (Behavioral, emotional, sensory, learning, social, etc.) EMERGENCY CONTACT Full Name* First Name Last Name Relationship* Phone Number* PICK-UP AUTHORIZATION Who is authorized to pick up your child?* CAMP INFORMATION How did you hear about Camp Gan Israel?* FriendSocial MediaGoogle SearchChabadCommunity Event If someone referred you, who may we thank? AGREEMENT * I understand that the Try a Day program is available for new families only.I certify that the information provided is accurate.I give permission for my child to participate in all camp activities appropriate for their age.I authorize Camp Gan Israel to obtain emergency medical care for my child if necessary. Thank you! We look forward to welcoming your child to Camp Gan Israel for their trial day. We hope your family has a wonderful experience and joins us for the rest of the camp. Submit Should be Empty: This page uses TLS encryption to keep your data secure.
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