Register - My Little Gan
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  • My Little Kaytana Summer Camp Application Form - Summer 2019

  • Please provide contact information for two people that we can contact in case of emergency (if we cannot reach either parent):

  • The following people are authorized to pick up my child from My Little Gan during Summer Camp 2018.

  • During camp, the children will be spending time outside. You may wish to provide us with sunscreen for protection while your child enjoys outdoor play.

    If you would like for us to apply sunscreen to your child, please provide us with an unexpired bottle of sunscreen, labeled with your child’s first and last name. Please apply sunscreen before camp begins each day and we will reapply before going outside. As with any topical medication or cream, the first application of any brand of sunscreen should be applied at home in order to evaluate your child’s possible allergic reaction to that product.

     I give My Little Gan staff permission to apply the provided sunscreen.  

  •  PARENTAL CONSENT

    By writing my name in the box below I agree to the following terms: 
    I hereby permit my child to participate in all activities at My Little Kaytana Summer camp 2018 at My Little Gan at Chabad of Hoboken, on-site, off-site and on any trips. I release Chabad of Hoboken, My Little Gan and all individuals from any liability arising out of any injury to my child. I understand that my child may be dismissed during a camp day, due to illness, at the discretion of the camp, and I agree to abide by the director’s decision. In the event of a medical or surgical emergency, I grant permission to the physician designated by Chabad of Hoboken and/or My Little Gan to hospitalize, secure proper treatment for and order injections, anesthesia or surgery for my child. Furthermore I understand that payment for medical services is solely the family’s responsibility.

  • Once registration is complete, you will receive email confirmation followed by a contract.

  • Should be Empty: