CGI REGISTRATION 2026

Camp Gan Izzy: July 13 - July 31, 2026

Ages: 5-12

1. Camper Information:

Childs name*

First Name Last Name

Jewish name*

Gender*

MaleFemale

Age as of July 13th, 2026*

Birth Date*

Month Day Year

Grade entering*

Does your child attend Hebrew school at Chabad of the Berkshires*

YesNo

Home Address*

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

Address in the Berkshires (If different than Home Address)

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

2. Parent Information:

Mother's Name*

First Name Last Name

Cell Phone Number*

E-mail*

I would like to receive news and updates by email

Fathers Name*

First Name Last Name

Cell Phone Number*

E-mail*

Are the Childs parents Jewish*

Both Parents are JewishMother is JewishFather is Jewish

3. Emergency Contact Information

Full Name*

Realtionship To Child*

Cell Phone Number*

4. Additional Camper Information:

Which Activities Does Your Child Enjoy?*

Does your child have any medical, developmental or emotional condition that camp should be aware of? If yes, please explain* ex: allergies, delays, etc.

5. Terms and Payment:

PARENTAL CONSENT: I hereby give consent for my child to participate in all activities of Camp Gan Israel Berkshires (CGI/Gan Izzy) both on and off site, trips, transportation to and from trips etc., unless I advise you otherwise in writing.
Limited Guardianship Approval: I hereby consent that CGI's directors be granted limited guardianship capabilities with regards to signing waivers on behalf of my child / children for trips specified in this year's camp schedule. (I do understand that I may still be asked to fill out waivers, as not all locations accept this consent)
PAYMENT AND CANCELLATION: The balance is due by June 9, and is non-refundable after that date. No child will be turned away due to lack of funds.
DISMISSAL OF CAMPER: Parent fully understands and agrees that the Camp reserves the right to dismiss, in 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 the event of dismissal, tuition will be refunded.
IMAGES, ETC.: Permission is hereby given to use in promoting the Camp and in other ventures directly relating to the Camp (i) digital, photographic and video images or likenesses of camper; audio 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.
I have read and agree to all of the terms and conditions in this Application Form. I further agree to pay the full tuition (unless otherwise noted) and any other fees by June 9.

Parent Signature*

Date*

Month Day Year

at Hour Minutes

Which weeks will your child be attending Camp Gan Izzy Berkshires?* $300 per week, $850 per session

Week 1Week 2Week 3Full Session

Sponsorship Opportunities

Allow 1 Child a Jewish Camp Experience for 1 week ($300)Allow 1 Child a Jewish Camp Experience for 2 weeks ($600)Allow 1 Child a Jewish Camp Experience for the FULL SESSION ($850)

Total

$0.00

Payment

Credit Card Check

Postal / Zip Code

Country

CGI REGISTRATION 2026

Camp Gan Izzy: July 13 - July 31, 2026

1. Camper Information:

2. Parent Information:

3. Emergency Contact Information

4. Additional Camper Information:

5. Terms and Payment: