Camp Gan Izzy 2025

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Information Details

First Name *

Last Name *

Parent Information Please fill out all parent information. If Parent is a single parent please enter NA.

Mother's Name *

Mother's Cell Phone Number *

Mother's Email *

Father's Name *

Father's Cell Phone Number *

Father's Email *

Are the natural parents of the child Jewish? *

Both Parents Mother Only Father Only

Camper's Information

Camper's Full Name *

Camper's Jewish Name

Camper's Address *

Camper's Birth Date *

Gender *

Male Female

Grade Entering September 2025 *

All Sizes are Youth

T-Shirt Size *

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