Gan Izzy Registration 2026

Address*

Born After Dark? (This helps us determine the Hebrew Birthday)
Gender*

MaleFemale
Current School*
Grade Finished*
Home Number*

Area Code Phone Number
2. Parent's Information
Marital status*
Select one
Mother's Info*
First Name Last Name
Cell Phone Number*

Area Code Phone Number
E-mail*
Work Phone Number

Area Code Phone Number
Father’s Info*
First Name Last Name
E-mail*
Cell Phone Number*

Area Code Phone Number
Work Phone Number

Area Code Phone Number
Alternative Contact*
First Name Last Name
Alternative Contact Number*

Area Code Phone Number
Doctor's Name*
First Name Last Name
Doctor's Phone Number*

Area Code Phone Number
AB Health Number*
Please list ALL allergies and health concerns*
3. Week selection and payment options
Please check which sessions your child will be attending:*

1: June 29- July 22: July 6- July 103: July 13 - July 174: July 20 - July 245: July 27 - July 316: Aug. 4- Aug. 7
Pricing: First Child* Child care receipts will be issued at the end of the year.
Pricing: Sibling* Child care receipts will be issued at the end of the year
Camp T-Shirts* Required for trip days
Camp Caps Recommended
Extended Hours AM Child 1 8:00am to 9:00am
Extended Hours AM Child 2 8:00am to 9:00am
Extended Hours PM Child 1 3:30PM to 5:00PM
Extended Hours PM Child 2 3:30PM to 5:00PM
Yes! I would like to help ensure all Jewish Children can have the CGI Experience! Charitable tax receipts issued.

$118$180$270$360$450$540$770$1080
Note
Total

$0.00 CAD

Payment* If you have any issues contact Rabbi Ari at 780-993-1818

Credit Card

We accept Visa, MasterCard, American Express
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

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