Chabad in S Monica | Camp Gan Israel

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Camp Gan Israel Application Form Summer 2010 Please complete all fields and then hit the submit button on the bottom of this page. If you prefer, click here to print out and mail your completed application to: Camp Gan Israel PO Box 1997 S Monica CA 90406-1997
Family's Name
Child's Name
School	Date of Birth
Gender:	Grade

Home Address
City	State Zip
Home Phone

Father's Name
Occupation	Work Phone:

Mother's Name
Occupation	Work Phone:

Father's Cell phone	Mother's Cell Phone
	Any Allergies or medications (Please specify:)
Emergency Contact	Phone
	In case of emergency, I give Camp Gan Israel permission to administer any medical care necessary.
Email
Session	Session 1 Session 2 Both
If you have any questions or concerns, please use our feedback form or call us at 310-341-3837. Click here for the counselor job application form.