Dear Parents, The purpose of securing background and developmental information about your child is to help our camp staff better understand your child. Your child's care during the day is a responsibility we share. Please complete the following questionnaire. Parent Information Name of Parent* First Name Last Name Phone Number* E-mail* Child Information Name of Child* First Name Last Name Nickname* Date of Birth* 1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Month12345678910111213141516171819202122232425262728293031 Day202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Year 1. Has your child had previous group experience?* YesNo 2. What are your child's particular strengths & talents?* 3. Is your child right handed or left handed?* Right handedLeft handed 4. Favorite activity:* 5. Does your child take a daily nap?* YesNo If yes, at what time? For how long does your child take a daily nap? 6. Fears [history & how child shows fears]:* 7. Does your child have any motor coordination difficulties?* YesNo If yes, please explain: 8. Does your child have difficulty speaking?* YesNo 9. Please feel free to add anything else which you consider important to your child's success: Submit Should be Empty: This page uses TLS encryption to keep your data secure.
Camp Gan Israel was founded by the Lubavitcher Rebbe in 1956. Today Camp Gan Israel is the largest network of Jewish camps in the world, with hundreds of locations in over 40 countries.