Registration - Chabad of Sunnyvale

Early Registration Pricing Expires 3/15 See 'Dates & Rates' for pricing details
Please click here if you wish to be added to a waitlist
Registration Date

Month Day Year
How many children will you be registering?*

1 Child2 Children3 Children
Parent Information
Parent 1
Parent 1 Name*
First Name Last Name
Parent 1 E-mail*
Parent 1 Phone Number*

Area Code Phone Number

Parent 1 Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Parent 2
Household*

Two Parent HouseholdSeparate HouseholdsSingle Parent
Please describe your family's Jewish affiliation*
Parent 2 Full Name*
First Name Last Name
Parent 2 E-mail*
Parent 2 Phone Number*

Area Code Phone Number

Parent 2 Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Child Information
Child 1
Full Name*
First Name Last Name
Birth Date*

Month Day Year
Gender*

MaleFemale
School Attending
School Attending*
Grade entering in Fall 2026:*
Any allergies or medical conditions?

YesNo
Any allergies or medical conditions?

YesNo
Please describe in detail*
Please describe in detail*
Any Special Food Requirements?*

YesNo
Please Explain*
Please describe your child's temperament*
Child 1 Registration
Early Registration pricing expires on March 15th.
Child 1 registering for:*

1 week: $4802 weeks: $460 Per Week3 weeks: $460 Per Week4 Weeks: $460 Per Week
Please specify week(s):*

Week 1: June 29 to July 3Week 2: July 6 to July 10Week 3: July 13 to July 17Week 4: July 20 to July 24
Extended Care Extended care is available daily from 8:00-9:00 AM and 3:30-5:00 PM

EARLY CARE Week 1 - $40EARLY CARE Week 2 - $40EARLY CARE Week 3 - $40EARLY CARE Week 4 - $40AFTER CARE Week 1 - $80AFTER CARE Week 2 - $80AFTER CARE Week 3 - $80AFTER CARE Week 4 - $80
Extended Care Extended care is available daily from 8:00-9:00 AM and 3:30-5:00 PM

EARLY CARE Week 1 - $40EARLY CARE Week 2 - $40EARLY CARE Week 3 - $40EARLY CARE Week 4 - $40AFTER CARE Week 1 - $80AFTER CARE Week 2 - $80AFTER CARE Week 3 - $80AFTER CARE Week 4 - $80
Please add to my child to the waitlist for:

Week 1Week 2
Shoe Size:*
T-Shirt size:*

Kids XSKids SKids MKids L
Swim Ability: Please select the category that best describes your child’s swimming ability:
Does your child have any fear of the water or limitations that staff should be aware of? Please specify if applicable:
Child 2
Full Name*
First Name Last Name
Birth Date*

Month Day Year
Gender*

MaleFemale
School Attending*
Grade entering in Fall 2026:
Any allergies or medical conditions?*

YesNo
Please describe in detail*
Any Special Food Requirements?*

YesNo
Please Explain*
Please describe your child's temperament*
Child 2 Registration
Early Registration pricing expires on March 15th.
Child 2 registering for:*

1 week: $4702 weeks: $450 Per Week3 weeks: $450 Per Week4 weeks: $450 Per Week
Child 2 registering for additional number of weeks:

1 additional week: $4502 additional weeks: $440 per week3 additional weeks: $430 per week4 additional weeks: $400 per week
Please specify week(s):*

Week 1: June 29 to July 3Week 2: July 6 - July 10Week 3: July 13 - July 17Week 4: July 20 - July 24
Extended Care Extended care is available daily from 8:00-9:00 AM and 3:30-5:00 PM

EARLY CARE Week 1 - $40EARLY CARE Week 2 - $40EARLY CARE Week 3 - $40EARLY CARE Week 4 - $40AFTER CARE Week 1 - $80AFTER CARE Week 2 - $80AFTER CARE Week 3 - $80AFTER CARE Week 4 - $80
Extended Care Extended care is available daily from 8:30-9:00 AM and 3:30-4:30 PM

EARLY CARE Week 1 - $40EARLY CARE Week 2 - $40AFTER CARE Week 1 - $80AFTER CARE Week 2 - $80
Please add to my child to the waitlist for:

Week 1Week 2
Shoe Size:*
T-Shirt size:*

Kids XSKids SKids MKids L
Swim Ability:* Please select the category that best describes your child’s swimming ability:
Does your child have any fear of the water or limitations that staff should be aware of? Please specify if applicable:
Child 3
Full Name*
First Name Last Name
Birth Date*

Month Day Year
Gender*

MaleFemale
School Attending*
Grade entering in Fall 2026:*
Any allergies or medical conditions?*

YesNo
Please describe in detail*
Any Special Food Requirements?*

YesNo
Please Explain*
Please describe your child's temperament*
Child 3 Registration
Early Registration pricing expires on March 15th.
Child 3 registering for:*

1 week: $4702 weeks: $450 Per Week3 weeks: $450 Per Week4 weeks: $450 Per Week
Please specify week(s):

Week 1: June 29 to July 3Week 2: July 6 to July 10Week 3: July 13 to July 17Week 4: July 20 to July 24
Please specify week(s):*

Week 1: June 29 to July 3Week 2: July 6 - July 10Week 3: July 13 - July 17Week 4: July 20 - July 24
Extended Care Extended care is available daily from 8:00-9:00 AM and 3:30-5:00 PM

EARLY CARE Week 1 - $40EARLY CARE Week 2 - $40EARLY CARE Week 3 - $40EARLY CARE Week 4 - $40AFTER CARE Week 1 - $80AFTER CARE Week 2 - $80AFTER CARE Week 3 - $80AFTER CARE Week 4 - $80
Shoe Size:*
T-Shirt size:*

Kids XSKids SKids MKids L
Swim Ability:* Please select the category that best describes your child’s swimming ability:
Does your child have any fear of the water or limitations that staff should be aware of? Please specify if applicable:
Scholarship Fund
Please consider helping a struggling family with an optional donation to the Camp Gan Israel Scholarship Fund

$
Payment Information
I would like to request a scholarship.
Mother's Job Description*
Father's Job Description*
Marital Status*
Number of Adults in family*
Number of Children in Family*
Total Annual Income*
Please Explain the Financial Difficulty*
How Many Children Are you Sending to Gan Izzy?*
How many weeks will they be attending?*
What is the amount of total camp tuition?*
How much can you pay towards camp tuition?*
*

I confirm that all the information contained above is accurate to the best of my knowledge and I understand that if this information is found to be false I may be disqualified from receiving aid and may be required to return any funds received.
Signature*
Date/Submission

Month Day Year
at Hour Minutes
E-mail for Response*
Email for us to send a response and related communication to
Please select a payment plan: 10% non-refundable deposit required

Pay in Full nowPay in Full by 5/15. Balance will be charged to this card on record on 5/15. Contact our office (by 5/13) if you prefer an alternative payment method. Minimum 10% payment required now.
Total

$0.00

I would like to pay today:Full amount10% minimum: $0.00 $

Payment

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

If you choose to not pay in full now, your entire balance will be charged to this card on record on May 15th. Contact our office (by May 13th) if you prefer an alternative payment method. Minimum 10% payment required now.
Registration Terms, Conditions & Waivers
Health Guidelines

I agree to follow all the health guidelines in place at camp this this summer, and to not bring my children to camp if they are displaying a fever, vomiting, diarrhea or other flu symptoms.

Parental Consent

Parental consent for participation in all activities of Camp Gan Israel is fully implied unless specifically excluded during the registration process.

Payments & Cancellations

All camp registrations require payment in full prior to May 15th. Should payment not be satisfied in full, space in the program is not saved and your child may lose their place in our program.

Refund policy:

Cancellations Prior to June 1st : If cancellation results in no attendance at Camp Gan Israel for this child, all camp fees will be refunded minus the 10% registration fee.

Cancellations After June 1st : No refunds
Change of weeks: $50 administrative fee

Please Note: We are unable to offer any refunds for illness of a camper that prevents him/her from attending our program. If Camp Gan Israel is forced to cancel or temporarily close a program due to an infection, Camp Gan Israel will offer a full refund for unused days (prorated) to all campers affected. Only those campers (and siblings) who are directly affected by the closure will be offered a refund.

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.

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 Camp Gan Israel in a timely manner of any infectious diseases or infestations acquired by a camper during their participation at camp.

Electronic and Smart Device Policy

To ensure a fully immersive, safe, and engaging camp experience, we maintain an "Unplugged" policy.

Prohibited Items: Campers are not allowed to bring cell phones, smartphones, smart watches (e.g., Apple Watches, Gizmos), or tablets to camp.

Allowed Tracking: AirTags or similar passive tracking devices attached to bags or clothing are permitted.

Consequences: If a prohibited electronic device is found, it will be immediately confiscated by staff and safely secured in the Camp Office. Parents/guardians will be notified, and the device may be picked up from the office upon the camper’s departure.

Responsibility: The camp is not responsible for lost, stolen, or damaged electronics brought to camp against this policy.

Images Etc.

Unless I state otherwise (in the form of an email or other written format), I give Camp Gan Israel & Chabad of Sunnyvale the right to use in promoting the Camp and in other ventures directly relating to the Camp including the Camp Gan Israel Facebook page (i) digital, photographic, video, and audio images or likenesses of camper; and (ii) statements, articles, names, music, art, photographs, audio recordings, films and videos created by Camper or originating from Camp or from a Camp-related activity.

Indemnify & Hold Harmless

I agree to indemnify and hold harmless Camp Gan Israel, Chabad of Sunnyvale and its officers, employees, volunteers or assigns from any liability concerning my child’s involvement in camp and further agree that the use of any premises during the program is made at my own risk.

By checking the box below, I certify that I have legal capacity to act as the parent/guardian of the named minor. I further understand that the terms of this agreement are legally binding and certify that I am signing this agreement, after having carefully read it, of my own free will.

Please note that Camp Gan Israel is a program operated by Chabad of Sunnyvale. Therefore, all references to 'Camp Gan Israel' in this document include Chabad of Sunnyvale, its directors, employees, and volunteers.
Signature*
Accident
As the parent(s) or legal guardian of my/our 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.
Agreement*

I agree.
Date:

Month Day Year
Trips & Outings
I hereby give permission for my child to attend and participate in all trips and outings organized as part of the program by Camp Gan Israel.
Agreement*

I agree.
Date:

Month Day Year
Privacy
I hereby give permission for my child’s photographs/videos to be used for educational or promotional purposes, which include but are not limited to, brochures, Camp Gan Israel and Chabad of Sunnyvale website and Camp Gan Israel and Chabad of Sunnyvale social media. I understand that I can withdraw my consent at any time.
Agreement

I agree.
Date:

Month Day Year
Should be Empty:

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Early Registration Pricing Expires 3/15 See 'Dates & Rates' for pricing details

Parent Information

Child Information

Scholarship Fund

Payment Information

Registration Terms, Conditions & Waivers

Accident

Trips & Outings

Privacy