Camp Gan Israel is committed to providing an amazing, fun summer in a safe environment! We look forward to welcoming your family to Gan Izzy for 2026!

This form is for families receiving the CGI full scholarship.

For more information please email Mirel: Mirel@JewishTiburon.com

If you are enrolling more than one child, please enter the information for each child in the same field. List the children in order, and separate each child’s information with a comma.

Camper Information

Full Name

Gender

Address

School

Grade Entering

Date of Birth (MM/DD/YYYY)

Medical Information

Physician Name

Physician Phone

Allergies

Does your child take any medication regularly? If yes, please specify

Does your child have any medical conditions we should be aware of?

Parent Information

Mother

Full Name

Cell Phone

E-mail

Father

Full Name

Cell Phone

E-mail

Emergency Information

Emergency contact name

Phone Number

Weeks attending

Week one: July 27 - 31$50

Week two: August 3 - 7$50

Both weeks$100