Online Scholarship Form!

Please fill out the form below carefully. When you press submit, this form will be sent to our administration office.

Note: Please use a separate form for each child.

Camper/Parent Information
Name
   First
Middle Last  
Address
   Street
City State
Zip
Date of Birth
    
Contact Info
   Phone
Email
 
           
Select Child's Age Group
Ages 3-5
Ages 9-10  
Ages 6-8
Ages 11-13  
 
  
Please indicate number of sessions your child will attend camp:


Yes, I would like to apply for a scholarship.

I would like my child to attend Camp Gan Israel because: