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100 Nassau Ave, Atlantic Beach, NY 11509
<< Back to JCAB Website
2025 Gan JCAB Registration
Please verify reCaptcha before submitting the form.
We are currently accepting registration for the 2025 season. To reserve a place for your child in our summer program, please complete the registration form below. Tuition is due at time of registration.
Orientation with a parent present will be on June 30th from 9:00-10:00 am.
July 1 - August 22, 2025
Tuition: $2,400/JCAB member; $2,600 non-member
Optional: Weekly tuition fee: $375 per week
Family/Guardian Information
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First Name
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Last Name
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Home Phone Number
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Mothers Cell Phone
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Fathers Cell Phone
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Primary Email Address
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Mailing Address
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City
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State
--Select State--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
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Zip Code
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Emergency Contact Name
First & Last
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Emergency Contact Relation to Camper(s)
Camper Information
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Camper 1 First Name
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Camper 1 Last Name
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Date of Birth
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Age Group
Please Select One
2-year-olds
3-year-olds
Food Restrictions/Allergies
Medications
Any medical or special circumstances?
Register Additional Children
Would you like to register a second child?
No
Yes
CAMPER 2
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Camper 2 First Name
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Camper 2 Last Name
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Camper 2 Date of Birth
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Camper 2 Age Group
Please Select One
2-year-olds
3-year-olds
Camper 2 - Food Restrictions/Allergies
Camper 2 - Medications
Camper 2 - Any medical or special circumstances?
Register Children for Full Summer
How many children are being registered for the entire summer?
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1
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5
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9
10
Children of Members ($2,200 before May 15)
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1
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9
10
Children of Non Members ($2,400 before May 15)
July 1-August 22, 2025
Register Children on Weekly Basis Only
How many children are being registered on a weekly basis at $375 per week? (Only children not signing up for full summer)
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1
2
3
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5
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7
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9
10
Week 1 (July 1-July 3)
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1
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8
9
10
Week 2 (July 7-11)
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1
2
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5
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7
8
9
10
Week 3 (July 14-18)
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1
2
3
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5
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7
8
9
10
Week 4 (July 21-25)
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1
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9
10
Week 5 (July 28-Aug 1)
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1
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8
9
10
Week 6 (Aug 4-8)
0
1
2
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8
9
10
Week 7 (Aug 11-15)
0
1
2
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4
5
6
7
8
9
10
Week 8 (Aug 18-22)
Participation in Gan JCAB 2025 Day Camp/Assumption of Risk and Waiver of Claims
As the parent or legal guardian of __________________, a child who will be attending Gan Jewish Center of Atlantic Beach (“JCAB”) day camp program during the summer of 2025, I understand my child will be engaging in athletic and recreational activities sponsored by the JCAB, which will take place at the JCAB, which involve certain risks and exposure to personal injury to my child, which risks and exposure I voluntarily assume on behalf of my child. I hereby represent that my child is in good health and has no disability, impairment, injury, disease or ailment which prevents him/her from engaging in active or passive exercise or which would cause increased risk or injury or adverse health consequences as a result of naïve or abusive exercise. I agree that neither JCAB nor its agents or employees owes any duty to me, either for my safety or otherwise, related in any way to my child’s participation in any such activity. In the event it is determined that the JCAB or its agents or employees owed any such duty to me, or the JCAB or its agents or employees would otherwise be liable to me or my child for any acts or omissions relating to my child’s participation in such activity, I agree that I (on my own behalf and on behalf of my child) will not hold the JCAB or its agents or employees (“JCAB Entities”) responsible for any loss, claim, injury, damage or liability sustained or incurred by my child in connection with my child’s participation in such activity, and hereby assume any such risk of injury, even if caused by the negligence of the JCAB Entities, and agree to indemnify and hold harmless the JCAB Entities from any liability associated in any way with my child’s participation in the activity described above.
I authorize any adult acting on behalf of the Gan JCAB program to treat, hospitalize, or secure treatment for my child, at my expense, in the event of any injury. It is understood that if time and circumstances reasonably permit, Gan JCAB personnel will try, but are not required, to communicate with me prior to seeking such treatment.
I further understand that my child may be photographed while participating in Gan JCAB activities and that these pictures may be used for marketing purposes.
I further agree that the JCAB shall not be liable for the loss, theft of, or damage to, any personal property brought by my child in connection with such activity. I agree that my child must abide by all rules and regulations with respect to the activity set by the JCAB. I have read and understand this agreement and sign it voluntarily.
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Parent or Guardian's Name (Print)
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Electronic Signature:
Enter first & last name
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Date:
Total
Sun, March 9 2025 9 Adar 5785