Number of children you'd like to enroll* Child 1 Name:* First Name Last Name Child 2 Name:* First Name Last Name Child 3 Name:* First Name Last Name Age/s and DOB of each child Names of Child's Parents Phone number and email of parent applying Which synagogue and/or Jewish organization are you affiliated with (if applicable)?* Are you part of the Chabad Community?* Yes No Which parent of the child is Jewish?* MotherFatherBoth How did you hear about Camp Gan Izzy?* What would you like your child/ren to gain by coming to camp?* Submit Should be Empty: This page uses TLS encryption to keep your data secure.
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