Camp Registration Form - Chabad of Southlake
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Camp Registration Form

  • Camper Information

  • Family Information

  • Emergency Information

  • Due to COVID-19 we will not be processing any tuition payments before April 15, 2021. (See more about our COVID-19 policy  Here) A $60 ($75 after March 20) registration fee per camper is required to reserve your child/rens spot. We will invoice you for the remainder in April. 

    2) Scholarships are available. All requests for assistance must be received by May 15th. Please note that the deposit must be paid before you can be considered for assistance. Click Here to apply for a scholarship.

    3) 5% Sibling Discount

    4) 5% Chai Club Discount 

    5) T-Shirts are required for all campers and CIT's.

    2021 Dates

    Full Session: June 21 - July 9

    Week One: June 21 - June 25

    Week Two: June 28 - July 2

    Week Three: July 5 - July 9

    2021 Rates

    Register Before:

    March 20

    May 15

    June 13


    Per Week/Full Session

     Per Week/Full Session

     Per Week/Full Session

    All Ages:

    $230 / $640

    $250 / $700

    $275 / $775

    Registration Fee:




    T-Shirt Fee:




    Before Care:

    $5 Day / $25 Week

    $5 Day / $25 Week

    $5 Day / $25 Week

    After Care:

    $9 Day / $45 Week

    $9 Day / $45 Week

    $9 Day / $45 Week

  • Dates & T-Shirt Options

  • Extended Care Options


    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 a $60 non-refundable registration fee ($75 after March 1). Full tuition (Minus any scholarship) is due by May 31st, and is non-refundable after that date. DISMISSAL OF CAMPER: I fully understand and agree that Camp Gan Israel reserves the right to dismiss, in its sole discretion, any Camper 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 less the $60 registration fee. 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 camper 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 acknowledge that I have read and accept the financial obligations and the refund policy as stated in the application form.

  • Pick a Date
  • $75.00
  • A $60 deposit per camper will be charged today. We will invoice you for the remainder in April.

  • Credit Card
    Billing Address
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