CIT Registration Form - Chabad of Southlake
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CIT Registration Form

  • CIT Information

    This form should be filled out by the parents of the CIT once they have been accepted
  • Family Information

  • TERMS & CONDITIONS

    PARENTAL CONSENT:I hereby give consent for my child to participate in all activities of Camp Gan Israel both on and off site, including trips, transportation to and from trips etc., unless I advise you otherwise in writing. PAYMENT AND CANCELLATION: Payment terms are $100 per week due by June 1st 2022 and is non-refundable after that date. DISMISSAL OF CIT:I fully understand and agree that Camp Gan Israel reserves the right to dismiss, in its sole discretion, any CIT whose condition, conduct, influence or behavior is deemed unsatisfactory or detrimental to the best interests of the Camp or his/her fellow campers or who violates camp rules and regulations. In the event of dismissal, tuition will be refunded on a pro-rated weekly basis. MEDICAL CARE: In case of emergency, I hereby give permission to the physician selected by the camp director, to hospitalize, to secure proper treatment for and to order injection, anesthesia, or other procedure deemed necessary for my child by an MD. Every effort will be made to contact the Parent / Legal Guardian and emergency contacts first. Should it be necessary for the wellbeing of the camper to utilize outside medical or dental  services, all expenses involved will be paid for by the parent. To the best of my knowledge, my child is in good health and I will notify the camp if he/she is exposed to any infectious diseases. I understand that my child may be dismissed during a camp day, due to illness, at the discretion of the camp, and I agree to abide by the Director’s decision. IMAGES, ETC.:Permission is hereby given to use in promoting the Camp and in other ventures directly relating to the Camp (I) digital, photographic and video images or likenesses of camper; audio of camper; and (II) statements, articles, names, music, art, photographs, audio recordings, films and videos created by camper or originating from Camp or from a Camp-related activity. INDEMNIFY & HOLD HARMLESS:I further release and agree to indemnify and hold harmless Camp Gan Israel (CGI) and its officers, servants or assigns from any liability or claim for any loss, injury, damage or expense resulting or arising from my child’s participation in camp activities. I further agree that the use of any premises during the CGI camp day is made at the risk of the registrant. 

    In addition, I acknowledge that the camp administration reserves the right to reconsider the enrollment of any CIT if we feel the child’s needs or level of functioning or behavior cannot be accommodated, or if the child’s conduct limits his or her ability to participate in, or to benefit fully from, the program and activities at Camp Gan Israel. In addition, I acknowledgethatI have read and accept the financial obligations and the refund policy as stated in the application form.

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