registration_emergency_form2[1] (1)

CAMP GAN ISRAEL 4718 Half Penny Ct. , Commerce, MI 48382 Phone: 248-363-3644 / Fax: 248-507-4083 cgi@jewishcommerce. org Registration Form – Kiddie Camp Last Name: ________________________ First Name: ______________________ Date: __________ Home Phone:... More

CAMP GAN ISRAEL 4718 Half Penny Ct. , Commerce, MI 48382 Phone: 248-363-3644 / Fax: 248-507-4083 cgi@jewishcommerce. org Registration Form – Kiddie Camp Last Name: ________________________ First Name: ______________________ Date: __________ Home Phone: _____________________ E-mail Address (Parents): _______________________________ DOB: ___________ Age: ____ Gender: ____ School: ______________________ Grade 2011/12: ____ Dates: Mon, Aug 6- Fri, Aug 10 Mon, Aug 13- Fri, Aug 17 Both Weeks Camp Hours: 9:30am – 3:30pm 8:30 am Drop off ($3/day) After care available: $3/hr T-shirt Size Please circle correct size T-shirt Children: XS S M L Optional Lunches $25. 00 per week (lunch includes sandwiches, sides, desserts, and a drink) A week of lunches includes dairy lunches (Monday & Friday), meat lunches (Tuesday & Thursday), and pizza lunch (Wednesday). Peanut butter and jelly and tuna are available every day. ____ Sign me up for ____ weeks of lunches ____ Sign me up for ____ meat lunches ($5. Less