Registration -
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  • Please fill out this COMPLETELY and SIGN so that we can register your child(ren).



  • If you are looking to enroll in WEEK 1 ONLY or BOTH WEEKS, 
    please contact
    [email protected]

  • **If you are only registering one camper, please skip to "Emergency Contact Information"**

    Please list at least one emergency contact other than the child's parents.




    June 10-14
    June 17-21

    5% Sibling discount

  • $0.00
    Credit Card
    Billing Address
  • As the parent(s) or legal guardian(s) of child/ren noted above, I/we authorize any adult acting on behalf of Camp Gan Israel of Coachella/Chabad of Rancho Mirage, to hospitalize or secure treatment for my child. I further agree to pay for all charges for that care and/or treatment. It is understood that, if time and circumstances reasonably permit, the camp will try to communicate with me prior to such treatment.

    As parents/guardians, we agree that we will be responsible for any loss, damage or destruction by our camper to any property of Camp Gan Israel or to any property for which the camp is liable or chargeable.

    I/we hereby give permission for my child to attend all field trips and outings sponsored by the Camp Gan Israel of Coachella/Chabad of Rancho Mirage, and be transported to and from the field trips and outings.

    I also allow my child to be photographed/videoed while participating in camp activities. I/we understand that these photographs/videos may be used for publicity purposes.

    By typing my name and the date below, I certify that the information on this application is true and correct and that I have read, and approve, the policies listed above.

    Please date and sign. *

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