2017 Camp Registration - Chabad of Nashville
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  • We're Glad You're Here!

  • Thank you for joining theCamp Gan Izzy Family!

    We are looking forward to a great summer and are glad you'll be a part of it!

    A few notes about registering your Camper(s).  We have tried to make the registration form as quick and easy to fill out as possible while gathering all the information we need to keep your child safe and well cared for.  If at any time you have a question or get stuck, please call us at 615-646-5750 and we will walk you through.  

    If you're registering more than one Camper, we have tried to cut down on asking you multiple times for information that is likely the same for all your children.  While you'll have to fill out a registration form and pay for each child separately, you will see a spot to let us know you are registering several Camper's and we will combine the information to make a complete record for each Camper.

  • Family Contact Information

  • If you are, we realize that some basic information is true for every child in your family.  While you’ll need to fill out a separate registration for each child, we have taken the liberty of guessing that the information above may be the same for all your children.  If it is, simply check the box below and our office will combine the records so that each child’s registration is complete without you having to fill out duplicate information.  If there are minor differences, please note below.

  • Camper Information

  • Medical Information

  • Your son/daughter is below legal age of consent (21 years old).  The law requires that we have your permission if medical service should be needed.  Your signature on the consent form will authorize us to proceed with the care of lesser types of medical problems, which may occur.  In the event of any major health problems, we will notify you as promptly as possible and follow your instructions.  If we are unable to contact you or your alternative listed below, your child will be taken to the nearest Emergency Room facility and will be treated there.

  • Does your child have any medical conditions that we should know about?

  • Trip Release Form

  • In the unlikely event your child needs emergency medical care, we want to know what course of action you'd like us to take.  Please indicate your choice of OPTION #1 or #2 below.

  • OPTION #1 In the event of an emergency when a parent/guardian is unavailable, I hereby authorize a representative of the Center for Jewish Awareness to make such arrangements as considered necessary for my child to receive medical or hospital care, including transportation. Under such circumstances, I further authorize the physician named above to undertake such care and treatment as considered necessary. In the event such physician is not available, I authorize such care and treatment to be performed by any licensed physician or surgeon. 

  • OPTION #2  I do not choose the above; I desire the following action to be taken in the event of an emergency.

  • By typing in your name below, you agree to bear all costs as a result  of the foregoing and that you agree to allow your child on all off-campus activities and trips.

  • Camp Fees

  • $0.00
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    Credit Card
    Check must be received before the 1st day of camp. Thank you
    Billing Address
  • Should be Empty:
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