Camp Gan Israel West Bay  Registration Form 2022
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Child's Information below
Child's Full Name *
Childs Hebrew Name
Address: Street, City, State Zip *
Date of Birth *
MM
/
DD
/
YYYY
Age *
Mother's Name (and Hebrew Name) *
Father's Name (and Hebrew Name)
Emergency contact, other than the parents? *
Emergency contact's phone number? *
School Information below
What grade was your child in?
Which school was your child enrolled in?
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