Summer Camp

Camp "Gan" at Chai Preschool is a camp dedicated to enriching the lives of children from diverse backgrounds and affiliations through a stimulating camping experience. CGI is part of the largest and fastest growing network of day camps, enjoying a reputation as a pioneer in Jewish camping, with innovative ideas and creative activities, to both provide enjoyment and inspire children to try new and exciting things!
Number of Children registering*
Register up to four children per submission.
1. Child/ren’s Information
Child 1:*
First Name Middle Name Last Name
Jewish/Hebrew Name*
Birth Date:*

Month Day Year
Medications Needed/known allergies or special needs:*
Gender:*

MaleFemale

Summer Tuition - Cost is per session *Payment due the first day of each session*

3-5 2's

2 Half Days   $250 $350
3 Half Days $300 $400
4 Half Days   $350 $450
5 Half Days   $400 $500

3-5 2's

2 Full Days   $380 $480
3 Full Days   $450 $550
4 Full Days   $480 $580
5 Full Days $550 $650

3-5 2's

2 Ext. Days   $475 $575
3 Ext. Days   $525 $625
4 Ext. Days   $575 $675
5 Ext. Days   $625 $725

Sessions:*

Session 1: June 17-June 28Session 2: July 1- July 12Session 3: July 15-July 26
Days:*

MondayTuesdayWednesdayThursdayFriday
Half day: 8:00am- 12:30pm

Full day: 8:00am- 3:00pm

Extended day: Monday-Thursday: 8:00am- 5:30pm

Friday 8:00am- 4:00pm
Schedule:

Half dayFull dayExtended day
Child 2:
First Name Middle Name Last Name
Jewish/Hebrew Name
Birth Date:

Month Day Year
Medications Needed/known allergies or special needs:
Gender:

MaleFemale

Summer Tuition - Cost is per session *Payment due the first day of each session*

3-5 2's

2 Half Days   $250 $350
3 Half Days $300 $400
4 Half Days   $350 $450
5 Half Days   $400 $500

3-5 2's

2 Full Days   $380 $480
3 Full Days   $450 $550
4 Full Days   $480 $580
5 Full Days $550 $650

3-5 2's

2 Ext. Days   $475 $575
3 Ext. Days   $525 $625
4 Ext. Days   $575 $675
5 Ext. Days   $625 $725

Sessions:*

Session 1: June 17-June 28Session 2: July 1-July 12Session 3: July 15-July 26
Days:

MondayTuesdayWednesdayThursdayFriday
Half day: 8:00am- 12:30pm

Full day: 8:00am- 3:00pm

Extended day: Monday-Thursday: 8:00am- 5:30pm

Friday 8:00am- 4:00pm
Schedule:

Half dayFull dayExtended day
Child 3:
First Name Middle Name Last Name
Jewish/Hebrew Name
Birth Date:

Month Day Year
Medications Needed/known allergies or special needs:
Gender:

MaleFemale

Summer Tuition - Cost is per session *Payment due the first day of each session*

3-5 2's

2 Half Days   $250 $350
3 Half Days $300 $400
4 Half Days   $350 $450
5 Half Days   $400 $500

3-5 2's

2 Full Days   $380 $480
3 Full Days   $450 $550
4 Full Days   $480 $580
5 Full Days $550 $650

3-5 2's

2 Ext. Days   $475 $575
3 Ext. Days   $525 $625
4 Ext. Days   $575 $675
5 Ext. Days   $625 $725

Sessions:

Session 1: June 17-June 28Session 2: July 1- July 12Session 3: July 15-26
Days:

MondayTuesdayWednesdayThursdayFriday
Child 4:
First Name Middle Name Last Name
Half day: 8:00am- 12:30pm

Full day: 8:00am- 3:00pm

Extended day: Monday-Thursday: 8:00am- 5:30pm

Friday 8:00am- 4:00pm
Schedule:

Half dayFull dayExtended day
Child 4:
First Name Middle Name Last Name
Jewish/Hebrew Name
Birth Date:

Month Day Year
Medications Needed/known allergies or special needs:
Gender:

MaleFemale

Summer Tuition - Cost is per session *Payment due the first day of each session*

3-5 2's

2 Half Days   $250 $350
3 Half Days $300 $400
4 Half Days   $350 $450
5 Half Days   $400 $500

3-5 2's

2 Full Days   $380 $480
3 Full Days   $450 $550
4 Full Days   $480 $580
5 Full Days $550 $650

3-5 2's

2 Ext. Days   $475 $575
3 Ext. Days   $525 $625
4 Ext. Days   $575 $675
5 Ext. Days   $625 $725

Sessions:

Session 1: June 19-June 30Session 2: July 3-14Session 3: July 17-28
Days:

MondayTuesdayWednesdayThursdayFriday
Half day: 8:00am- 12:30pm

Full day: 8:00am- 3:00pm

Extended day: Monday-Thursday: 8:00am- 5:30pm

Friday 8:00am- 4:00pm
Schedule:

Half dayFull dayExtended day
If you have additional children please contact us.
2. Parent information
Mother's info*
First Name Last Name
Phone Number*

Area Code Phone Number

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Work Phone

Area Code Phone Number
E-mail* Primary email
Cell Phone*

Area Code Phone Number
Father's info
First Name Last Name
Work Phone

Area Code Phone Number
E-mail
Cell Phone

Area Code Phone Number
How did you hear of us?*
3. Authorized Pickup
Contact 1*
First Name Last Name
Phone Number*

Area Code Phone Number
Relationship*
3. Emergency Information
Emergency Contact*
First Name Last Name
Phone Number*

Area Code Phone Number
Relationship*
Pediatrician & Insurance
First Name Last Name
Phone Number

Area Code Phone Number
Insurance
Policy #
4. Agreements
Authorization of Treatment:*

I hereby give my permission to the medical personnel selected by the camp director to order treatment and necessary transportation for my child. In the event that I cannot be reached in an emergency, I hereby give permission to the physician to secure and administer treatment, including authorization for my child.
Release Statement:*

I acknowledge that there are natural hazards associated with camp and related activities in an outdoor setting. I hereby affirm that my child is in good health and physically capable of the performing the required activities of camp. In consideration of Chai Preschool accepting my child and to the extent permitted by State law, I hereby release and forever discharge Chai Preschool/Chabad of Poway, it’s units, agents, and employees from all claim of liability for any damages or injuries which may be sustained while at camp.
Photo Release:

I hereby give permission for my child’s picture to be taken and used by Chai Preschool/Chabad of Poway’s publications or video programs.
Water Activities:*

I understand that the camp at Chai Preschool/Chabad of Poway include activities in or near water. I give my permission for my child to participate in all water activities included in the camp.
Travel:*

I give my permission for my child to participate in all camp nature walks, hikes to the park (within 2 mile radius of the school).
Sunscreen:*

I give my permission for Chai Preschool/Chabad of Poway to apply sunscreen, provided by me on my child before participating in any outside activities.
Photo ID:*

I understand that if a teacher/counselor does not know the person picking up my child, they will be asked to provide a photo ID to be matched to authorized names on file given by me.
Tuition:*

I understand that tuition is due prior to first day of the camp session.
Sign In/Out:*

I understand that I MUST sign (full signature) my child in and out on a daily basis. If they are not signed in or out, and because the school does not have documentation on when my child was brought/picked up, I will be charged for an extended day– all daycare charges will be applicable until 4:00 p.m.
Signature:*
*By signing above, you acknowledge that you have read and agree to each item.
6. Payment Information
Total

$0.00
A $60 non-refundable registration fee per child applies as part of this registration.

Payment

Credit Card Current family- No charge.

General comments
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Chai Preschool & Infant Center

1. Child/ren’s Information

2. Parent information

3. Authorized Pickup

3. Emergency Information

4. Agreements

6. Payment Information

Camp Address