Online Registration!

Please fill out the form below carefully. When you press submit, this form will be sent to our administration office. Someone will contact you.

Please understand: submiting this form does NOT guarentee a space for your child.  Once this form is received by our office, someone will contact you to complete the registarion and let you know if your child has been accepted.

For dates and tuition rates click here.

Note: Please use a separate form for each child. 

Camper/Parent Information
Child's Name
  First  Middle Last  
Address
  Street  City  State Zip
Date of Birth
   
Contact Info
  Phone Email  
Schools
  School Entering Grade Hebrew/School (if any)
Child's Mother
  Mother's Name  Hebrew/Name  Work Phone  Cell
Child's Father
  Father's Name
Hebrew/Name Work Phone Cell
Emergency Contact Info
  Name Phone Relationship  
Pediatrician
  Name Phone Medical Insurance co.  Insurance policy #

Parent Email

  Parent 1 
Parent 2 
 Camper's email    
           
Select Child's Age Group
Ages 4 - 5
Ages 6 - 7  
Ages 8 - 9
Ages 10 - 12  
Ages 13-15 CIT program
Please indicate number of sessions your child will attend camp:
 

You can choose:

Session 1: July 30  
Session 2: August 6  
     
     
$8 each⇒
 


 

I would like to order camp t-shirt(s) Small Medium Large X-Large
(For safety reasons, each child must buy at least one camp t-shirt for trip days.
The shirts have a new color/style each year.)

 

$5 each⇒

 

I would like to order  camp hat (one size fits all)
(Camp hat is recommended, but not mandatory.)

IMPORTANT
All forms must be completed and submitted before your child can be accepted.
I will be paying by: Check      Mastercard         Visa        American Express
(If paying by check, please mail to CGI, 34 Cedar Street, Milford, MA 01757)
I have read the camp brochure, parent handbook and application form and agree to the terms stated. I give my child permission to attend all trips, and receive medical care in the case of emergency. Also, all photos taken of my child may be used as the camp sees fit, including in promotional material.
Parent/Guardian initials
   
  Date of Application:     
   
 

Payment Options:
VISA MasterCard American Express Discover
Card No.        
Card Expiration: mm/yyyy    /    
Billing zip code:
  ccv code:
 
Name on Card   

   
 

Please write any comments and/or discount codes below: