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<span>Mini Gan</span>
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<span>Junior Gan</span>
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<span>Senior Gan</span>
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<span>Summer 2026</span>
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<span>Career Opportunities </span>
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<span>Registration Inquiry</span>
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<a href="/templates/articlecco_cdo/aid/6270759/jewish/Initial-Camp-Employment-Interest.htm" class="child_item default" data-menu-level="3" data-aid="6270759"><span>Initial Camp Employment Interest</span></a>
<a href="/templates/articlecco_cdo/aid/6452671/jewish/CITLIT-Application-Paperwork.htm" class="child_item default" data-menu-level="3" data-aid="6452671"><span>CIT/LIT Application & Paperwork</span></a>
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<span>Summer 2025</span>
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<a href="/templates/articlecco_cdo/aid/6519516/jewish/Summer-2024.htm" class="item empty" id="menu_item5-2" data-menu-level="2" data-aid="6519516">
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<span>Summer 2024</span>
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<span>Summer 2021</span>
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<span>Summer 2020</span>
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<span>Summer 2019</span>
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<span>Summer 2018</span>
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<span>Summer 2017</span>
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<a href="/templates/articlecco_cdo/aid/3372878/jewish/Summer-2016.htm" class="item" id="menu_item5-8" data-menu-level="2" data-aid="3372878">
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<span>Summer 2016</span>
</a>
<a href="/templates/photogallery_cdo/aid/3246076/jewish/Open-House-2016.htm" class="item empty" id="menu_item5-9" data-menu-level="2" data-aid="3246076">
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<span>Open House 2016</span>
</a>
<a href="/templates/articlecco_cdo/aid/2993610/jewish/Summer-2015.htm" class="item" id="menu_item5-10" data-menu-level="2" data-aid="2993610">
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<span>Summer 2015</span>
</a>
<a href="/templates/articlecco_cdo/aid/2634763/jewish/Summer-2014.htm" class="item" id="menu_item5-11" data-menu-level="2" data-aid="2634763">
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<span>Summer 2014</span>
</a>
<a href="/templates/articlecco_cdo/aid/2257984/jewish/Summer-2013.htm" class="item" id="menu_item5-12" data-menu-level="2" data-aid="2257984">
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<span>Summer 2013</span>
</a>
<a href="/templates/articlecco_cdo/aid/1897289/jewish/Summer-2012.htm" class="item" id="menu_item5-13" data-menu-level="2" data-aid="1897289">
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<span>Summer 2012</span>
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<a href="/templates/articlecco_cdo/aid/1560406/jewish/Summer-2011.htm" class="item" id="menu_item5-14" data-menu-level="2" data-aid="1560406">
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<span>Summer 2011</span>
</a>
<a href="/templates/articlecco_cdo/aid/1242539/jewish/Summer-2010.htm" class="item" id="menu_item5-15" data-menu-level="2" data-aid="1242539">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow" />
<span>Summer 2010</span>
</a>
<a href="/templates/photogallery_cdo/aid/863784/jewish/2009-Camp-Reunion.htm" class="item empty" id="menu_item5-16" data-menu-level="2" data-aid="863784">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow off" />
<span>2009 Camp Reunion</span>
</a>
<a href="/templates/articlecco_cdo/aid/938522/jewish/Summer-2009.htm" class="item" id="menu_item5-17" data-menu-level="2" data-aid="938522">
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<span>Summer 2009</span>
</a>
<a href="/templates/articlecco_cdo/aid/938523/jewish/Summer-2008.htm" class="item" id="menu_item5-18" data-menu-level="2" data-aid="938523">
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<span>Summer 2008</span>
</a>
<a href="/templates/articlecco_cdo/aid/938525/jewish/Summer-2007.htm" class="item" id="menu_item5-19" data-menu-level="2" data-aid="938525">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow" />
<span>Summer 2007</span>
</a>
<a href="/templates/photogallery_cdo/aid/548119/jewish/Summer-2006.htm" class="item empty" id="menu_item5-20" data-menu-level="2" data-aid="548119">
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<span>Summer 2006</span>
</a>
</div>
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<a href="" class="child_item default" data-menu-level="3" data-aid="0"><span></span></a>
</div></td>
<td class="co_column"></td><td class="co_column"></td><td class="co_column"></td>
</tr>
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<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
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<a href="" class="child_item default" data-menu-level="3" data-aid="0"><span></span></a>
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<td class="co_column"></td><td class="co_column"></td><td class="co_column"></td>
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<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="/templates/photogallery_cdo/aid/5181255/jewish/Mini-Gan-Week-1.htm" class="child_item default" data-menu-level="3" data-aid="5181255"><span>Mini Gan - Week 1</span></a>
<a href="/templates/photogallery_cdo/aid/5181258/jewish/Junior-Gan-Week-1.htm" class="child_item default" data-menu-level="3" data-aid="5181258"><span>Junior Gan - Week 1</span></a>
<a href="/templates/photogallery_cdo/aid/5181259/jewish/Senior-Gan-Week-1.htm" class="child_item default" data-menu-level="3" data-aid="5181259"><span>Senior Gan - Week 1</span></a>
<a href="/templates/photogallery_cdo/aid/5186524/jewish/Junior-Gan-Week-2.htm" class="child_item default" data-menu-level="3" data-aid="5186524"><span>Junior Gan - Week 2</span></a>
<a href="/templates/photogallery_cdo/aid/5186527/jewish/Senior-Gan-Week-2.htm" class="child_item default" data-menu-level="3" data-aid="5186527"><span>Senior Gan - Week 2</span></a>
<a href="/templates/photogallery_cdo/aid/5198191/jewish/Senior-Gan-Week-4.htm" class="child_item default" data-menu-level="3" data-aid="5198191"><span>Senior Gan - Week 4</span></a>
<a href="/templates/photogallery_cdo/aid/5198199/jewish/Mini-Gan-Week-4.htm" class="child_item default" data-menu-level="3" data-aid="5198199"><span>Mini Gan - Week 4</span></a>
<a href="/templates/photogallery_cdo/aid/5198201/jewish/Junior-Gan-Week-4.htm" class="child_item default" data-menu-level="3" data-aid="5198201"><span>Junior Gan - Week 4</span></a>
<a href="/templates/articlecco_cdo/aid/5206398/jewish/Week-5.htm" class="child_item default" data-menu-level="3" data-aid="5206398"><span>Week 5</span></a>
</div></td>
<td class="co_column"></td><td class="co_column"></td><td class="co_column"></td>
</tr>
</table>
</div>
<div id="menu_child5-4" class="menu_child" style="width:524px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="/templates/photogallery_cdo/aid/4804688/jewish/Mini-Gan-Week-1.htm" class="child_item default" data-menu-level="3" data-aid="4804688"><span>Mini Gan Week 1</span></a>
<a href="/templates/photogallery_cdo/aid/4804694/jewish/Junior-Gan-Week-1.htm" class="child_item default" data-menu-level="3" data-aid="4804694"><span>Junior Gan Week 1</span></a>
<a href="/templates/photogallery_cdo/aid/4804692/jewish/Senior-Gan-Week-1.htm" class="child_item default" data-menu-level="3" data-aid="4804692"><span>Senior Gan Week 1</span></a>
<a href="/templates/photogallery_cdo/aid/4802879/jewish/Pioneers-Week-1.htm" class="child_item default" data-menu-level="3" data-aid="4802879"><span>Pioneers Week 1</span></a>
<a href="/templates/photogallery_cdo/aid/4804698/jewish/Mini-Gan-Week-2.htm" class="child_item default" data-menu-level="3" data-aid="4804698"><span>Mini Gan Week 2</span></a>
<a href="/templates/photogallery_cdo/aid/4804696/jewish/Junior-Gan-Week-2.htm" class="child_item default" data-menu-level="3" data-aid="4804696"><span>Junior Gan Week 2</span></a>
<a href="/templates/photogallery_cdo/aid/4804697/jewish/Seniors-Gan-Week-2.htm" class="child_item default" data-menu-level="3" data-aid="4804697"><span>Seniors Gan Week 2</span></a>
<a href="/templates/photogallery_cdo/aid/4805148/jewish/Pioneers-Week-2.htm" class="child_item default" data-menu-level="3" data-aid="4805148"><span>Pioneers Week 2</span></a>
<a href="/templates/photogallery_cdo/aid/4810552/jewish/Pioneers-Week-23.htm" class="child_item default" data-menu-level="3" data-aid="4810552"><span>Pioneers Week 2/3</span></a>
<a href="/templates/photogallery_cdo/aid/4810123/jewish/Mini-Gan-Week-3.htm" class="child_item default" data-menu-level="3" data-aid="4810123"><span>Mini Gan Week 3</span></a>
</div></td>
<td class="co_column"><div class="column_left_wrapper">
<a href="/templates/photogallery_cdo/aid/4810548/jewish/Junior-Gan-Week-3.htm" class="child_item default" data-menu-level="3" data-aid="4810548"><span>Junior Gan Week 3</span></a>
<a href="/templates/photogallery_cdo/aid/4810551/jewish/Senior-Gan-Week-3.htm" class="child_item default" data-menu-level="3" data-aid="4810551"><span>Senior Gan Week 3</span></a>
<a href="/templates/photogallery_cdo/aid/4810553/jewish/Pioneers-Week-3.htm" class="child_item default" data-menu-level="3" data-aid="4810553"><span>Pioneers Week 3</span></a>
<a href="/templates/photogallery_cdo/aid/4816426/jewish/Junior-Gan-Week-4.htm" class="child_item default" data-menu-level="3" data-aid="4816426"><span>Junior Gan Week 4</span></a>
<a href="/templates/photogallery_cdo/aid/4816427/jewish/Pioneers-Week-4.htm" class="child_item default" data-menu-level="3" data-aid="4816427"><span>Pioneers Week 4</span></a>
<a href="/templates/photogallery_cdo/aid/4816431/jewish/Mini-Gan-Week-4.htm" class="child_item default" data-menu-level="3" data-aid="4816431"><span>Mini Gan Week 4</span></a>
<a href="/templates/photogallery_cdo/aid/4816432/jewish/Seniors-Gan-Week-4.htm" class="child_item default" data-menu-level="3" data-aid="4816432"><span>Seniors Gan Week 4</span></a>
<a href="/templates/photogallery_cdo/aid/4823549/jewish/Junior-Gan-Week-5.htm" class="child_item default" data-menu-level="3" data-aid="4823549"><span>Junior Gan Week 5</span></a>
<a href="/templates/photogallery_cdo/aid/4823594/jewish/Seniors-Gan-Week-5.htm" class="child_item default" data-menu-level="3" data-aid="4823594"><span>Seniors Gan Week 5</span></a>
<a href="/templates/photogallery_cdo/aid/4823595/jewish/Mini-Gan-Week-5.htm" class="child_item default" data-menu-level="3" data-aid="4823595"><span>Mini Gan Week 5</span></a>
</div></td>
<td class="co_column"><div class="column_left_wrapper">
<a href="/templates/photogallery_cdo/aid/4825266/jewish/Pioneers-Week-5.htm" class="child_item default" data-menu-level="3" data-aid="4825266"><span>Pioneers Week 5</span></a>
<a href="/templates/photogallery_cdo/aid/4845939/jewish/CGI-MERRICK-week-6-8-Mini-Gan.htm" class="child_item default" data-menu-level="3" data-aid="4845939"><span>CGI MERRICK week 6-8 Mini Gan </span></a>
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<a href="/templates/photogallery_cdo/aid/4847470/jewish/CGI-MERRICK-Junior-Gan-Week-8.htm" class="child_item default" data-menu-level="3" data-aid="4847470"><span>CGI MERRICK Junior Gan Week 8 </span></a>
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<a href="/templates/articlecco_cdo/aid/4428446/jewish/Week-1-Recap.htm" class="child_item default" data-menu-level="3" data-aid="4428446"><span>Week 1 Recap</span></a>
<a href="/templates/articlecco_cdo/aid/4430668/jewish/Week-2-Recap.htm" class="child_item default" data-menu-level="3" data-aid="4430668"><span>Week 2 Recap</span></a>
<a href="/templates/articlecco_cdo/aid/4436119/jewish/Week-3-Recap.htm" class="child_item default" data-menu-level="3" data-aid="4436119"><span>Week 3 Recap</span></a>
<a href="/templates/articlecco_cdo/aid/4441243/jewish/Week-4-Recap.htm" class="child_item default" data-menu-level="3" data-aid="4441243"><span>Week 4 Recap</span></a>
<a href="/templates/articlecco_cdo/aid/4448832/jewish/Week-5-Recap.htm" class="child_item default" data-menu-level="3" data-aid="4448832"><span>Week 5 Recap</span></a>
<a href="/templates/articlecco_cdo/aid/4458500/jewish/Week-7-Recap.htm" class="child_item default" data-menu-level="3" data-aid="4458500"><span>Week 7 Recap</span></a>
<a href="/templates/articlecco_cdo/aid/4464806/jewish/Week-8-Recap.htm" class="child_item default" data-menu-level="3" data-aid="4464806"><span>Week 8 Recap</span></a>
<a href="/templates/photogallery_cdo/aid/4435272/jewish/Summer-2019.htm" class="child_item default" data-menu-level="3" data-aid="4435272"><span>Summer 2019</span></a>
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<a href="/templates/photogallery_cdo/aid/3737184/jewish/Slideshow-2.htm" class="child_item default" data-menu-level="3" data-aid="3737184"><span>Slideshow 2</span></a>
<a href="/templates/photogallery_cdo/aid/3737186/jewish/Slideshow-3.htm" class="child_item default" data-menu-level="3" data-aid="3737186"><span>Slideshow 3</span></a>
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<a href="/templates/photogallery_cdo/aid/3765523/jewish/Week-4.htm" class="child_item default" data-menu-level="3" data-aid="3765523"><span>Week 4</span></a>
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<a href="/templates/photogallery_cdo/aid/3372881/jewish/Week-1.htm" class="child_item default" data-menu-level="3" data-aid="3372881"><span>Week 1</span></a>
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<a href="/templates/photogallery_cdo/aid/2993611/jewish/Week-1.htm" class="child_item default" data-menu-level="3" data-aid="2993611"><span>Week 1</span></a>
<a href="/templates/photogallery_cdo/aid/3000768/jewish/Week-2.htm" class="child_item default" data-menu-level="3" data-aid="3000768"><span>Week 2</span></a>
<a href="/templates/photogallery_cdo/aid/3007868/jewish/Week-3.htm" class="child_item default" data-menu-level="3" data-aid="3007868"><span>Week 3</span></a>
<a href="/templates/photogallery_cdo/aid/3019821/jewish/Week-4.htm" class="child_item default" data-menu-level="3" data-aid="3019821"><span>Week 4</span></a>
<a href="/templates/photogallery_cdo/aid/3028699/jewish/Week-6.htm" class="child_item default" data-menu-level="3" data-aid="3028699"><span>Week 6</span></a>
<a href="/templates/photogallery_cdo/aid/3035618/jewish/Week-7.htm" class="child_item default" data-menu-level="3" data-aid="3035618"><span>Week 7</span></a>
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<a href="/templates/photogallery_cdo/aid/2634764/jewish/Week-1.htm" class="child_item default" data-menu-level="3" data-aid="2634764"><span>Week 1</span></a>
<a href="/templates/photogallery_cdo/aid/2641152/jewish/Week-2.htm" class="child_item default" data-menu-level="3" data-aid="2641152"><span>Week 2</span></a>
<a href="/templates/photogallery_cdo/aid/2649868/jewish/Week-3.htm" class="child_item default" data-menu-level="3" data-aid="2649868"><span>Week 3</span></a>
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<a href="/templates/photogallery_cdo/aid/2668484/jewish/Week-6.htm" class="child_item default" data-menu-level="3" data-aid="2668484"><span>Week 6</span></a>
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<a href="/templates/photogallery_cdo/aid/2257985/jewish/Week-1-Wii-are-excited-for-Summer.htm" class="child_item default" data-menu-level="3" data-aid="2257985"><span>Week 1 (Wii are excited for Summer)</span></a>
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<a href="/templates/photogallery_cdo/aid/2290771/jewish/Week-6-Wii-Love-Shabbat.htm" class="child_item default" data-menu-level="3" data-aid="2290771"><span>Week 6 (Wii Love Shabbat)</span></a>
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<a href="/templates/photogallery_cdo/aid/1897290/jewish/Week-1.htm" class="child_item default" data-menu-level="3" data-aid="1897290"><span>Week 1</span></a>
<a href="/templates/photogallery_cdo/aid/1902899/jewish/Week-2.htm" class="child_item default" data-menu-level="3" data-aid="1902899"><span>Week 2</span></a>
<a href="/templates/photogallery_cdo/aid/1904891/jewish/Week-3.htm" class="child_item default" data-menu-level="3" data-aid="1904891"><span>Week 3</span></a>
<a href="/templates/photogallery_cdo/aid/1914092/jewish/Week-4.htm" class="child_item default" data-menu-level="3" data-aid="1914092"><span>Week 4</span></a>
<a href="/templates/photogallery_cdo/aid/1920233/jewish/Week-5.htm" class="child_item default" data-menu-level="3" data-aid="1920233"><span>Week 5</span></a>
<a href="/templates/photogallery_cdo/aid/1926342/jewish/Week-6.htm" class="child_item default" data-menu-level="3" data-aid="1926342"><span>Week 6</span></a>
<a href="/templates/photogallery_cdo/aid/1930414/jewish/Week-7.htm" class="child_item default" data-menu-level="3" data-aid="1930414"><span>Week 7</span></a>
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<a href="/templates/articlecco_cdo/aid/1560408/jewish/Gan-Israel-Day-Camps-of-Suffolk-County.htm" class="child_item default" data-menu-level="3" data-aid="1560408"><span>Gan Israel Day Camps of Suffolk County</span></a>
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<a href="/templates/articlecco_cdo/aid/1242556/jewish/Gan-Israel-Day-Camps-of-Suffolk-County.htm" class="child_item default" data-menu-level="3" data-aid="1242556"><span>Gan Israel Day Camps of Suffolk County</span></a>
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<a href="/templates/articlecco_cdo/aid/938582/jewish/Gan-Israel-Day-Camps-of-Suffolk-County.htm" class="child_item default" data-menu-level="3" data-aid="938582"><span>Gan Israel Day Camps of Suffolk County</span></a>
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<a href="/templates/photogallery_cdo/aid/700092/jewish/Week-1-2008.htm" class="child_item default" data-menu-level="3" data-aid="700092"><span>Week 1 2008</span></a>
<a href="/templates/photogallery_cdo/aid/700539/jewish/Week-2-2008.htm" class="child_item default" data-menu-level="3" data-aid="700539"><span>Week 2 2008</span></a>
<a href="/templates/photogallery_cdo/aid/702940/jewish/Week-3-2008.htm" class="child_item default" data-menu-level="3" data-aid="702940"><span>Week 3 2008</span></a>
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<a href="/templates/photogallery_cdo/aid/535529/jewish/2007-Week-2.htm" class="child_item default" data-menu-level="3" data-aid="535529"><span>2007 Week 2</span></a>
<a href="/templates/photogallery_cdo/aid/538071/jewish/2007-Week-3.htm" class="child_item default" data-menu-level="3" data-aid="538071"><span>2007 Week 3</span></a>
<a href="/templates/photogallery_cdo/aid/546122/jewish/2007-Week-4.htm" class="child_item default" data-menu-level="3" data-aid="546122"><span>2007 Week 4</span></a>
<a href="/templates/photogallery_cdo/aid/545984/jewish/2007-Week-5.htm" class="child_item default" data-menu-level="3" data-aid="545984"><span>2007 Week 5</span></a>
<a href="/templates/photogallery_cdo/aid/546508/jewish/2007-Week-6.htm" class="child_item default" data-menu-level="3" data-aid="546508"><span>2007 Week 6</span></a>
<a href="/templates/photogallery_cdo/aid/547646/jewish/2007-Week-7-Post-Camp-Week-1.htm" class="child_item default" data-menu-level="3" data-aid="547646"><span>2007 Week 7 (Post Camp Week 1)</span></a>
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PARENTAL CONSENT: I hereby permit my child to participate in all activities of Camp Gan Israel \u0026ndash; on and off site including trips.\u003cbr\u003e\n\u003cbr\u003e\n2. PAYMENT AND Cancelation: An $85 registration fee (per family) and a $150 deposit (per child) is to accompany this signed enrollment agreement. Your registration fee and deposit are refundable if canceled in writing prior to January 31st, 2026. The final balance is due by May 10, 2026\u0026nbsp;in order to hold your spot and secure your current rate. There are no refunds for absences, vacations, withdrawals, accidents, or illnesses once the camp season has begun. If your child is absent for more than 7 consecutive days for medical reasons, a tuition refund will be made for each day lost after the 7-day deductible period if you submit a doctor\u0026rsquo;s note.\u003cbr\u003e\n\u003cbr\u003e\n3. No child will be allowed to attend camp until a completed medical form and full payment have been received. 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<form class="userform-form" action="" method="post" name="form_6967890" id="6967890" accept-charset="utf-8"><input type="hidden" name="formID" value="6967890" /><div class="form-all dir_ltr" dir="ltr"><ul class="form-section"><li class="form-line" id="id_62"><div id="cid_62" class="form-input-wide"> <div id="text_62" class="form-html"><p style="text-align: center;"><b>Gan Israel Day Camps is a project of Maimonides Educational Center and is licensed by the Nassau County Department of Health. We are inspected by their department at least twice yearly and inspection reports are filed at 200 County Seat Drive, Mineola, NY 11501. Click <a href="https://campgi.com/media/pdf/1352/gqDc13529135.pdf">HERE</a> to read the 'Rights and Responsibilities' of Gan Israel Day Camps as the 'Camp Operator'.</b></p>

<p style="text-align: center;">*Applications are processed on a 'first come, first served' basis.</p>

<p style="text-align: center;">*Your spot is only confirmed once deposit and full payment is received and you receive a confirmation from our office.<br />
<br />
 </p>

<p style="text-align: center;">REGISTRATION FOR 2026 IS NOW OPEN for the following groups:<br />
<br />
<s><strong>New!</strong> Tiny Gan (9 mo - 18 mo) - <strong>FULL</strong></s></p>

<p style="text-align: center;"><s>Mini Gan 1 (18 mo - 24 mo) - <strong>FULL</strong></s><br />
<br />
<s>Mini Gan 2 (24 mo - 3 yrs old) - <strong>FULL</strong></s><br />
<br />
<s>Junior Gan (4 yrs old-entering Pre-K) - <strong>FULL</strong></s><br />
<br />
Senior Gan 1 (5 yrs old-entering K)  <br />
<br />
Senior Gan 2  (6-8 yrs old-entering 1st-3rd grade)</p>
</div> </div></li><li class="form-line always-hidden" id="id_129"><div class="form-label-top" id="label_129"><label for="input_129"> Registration </label><label class="label-message" for="input_129"> </label></div><div id="cid_129" class="form-input-wide"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_129_0" name="q129_input129" checked="checked" value="$85" /><label id="label_input_129_0" for="input_129_0"><span>$85</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_91"><div class="form-label-top" id="label_91"><label for="input_91"> Number of Campers Registering:<span class="form-required">*</span> </label><label class="label-message" for="input_91"> </label></div><div id="cid_91" class="form-input-wide"> <input type="number" class="form-number-input  form-textbox validate[required]" id="input_91" name="q91_number" style="width:60px" size="5" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" max="4" data-numbermax="4" /> </div></li><li id="cid_42" class="form-input-wide"> <div class="form-header-group"><h3 id="header_42" class="form-header">Camper Information</h3><div id="subHeader_42" class="form-subHeader">Camper 1</div></div> </li><li class="form-line" id="id_3"><div class="form-label-top" id="label_3"><label for="input_3"> Camper 1: Full Name<span class="form-required">*</span> </label><label class="label-message" for="input_3"> </label></div><div id="cid_3" class="form-input-wide"> <span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q3_fullName[first]" id="first_3" autocomplete="given-name" />  <label class="form-sub-label" for="first_3" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q3_fullName[last]" id="last_3" autocomplete="family-name" />  <label class="form-sub-label" for="last_3" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_4"><div class="form-label-top" id="label_4"><label for="input_4"> Camper 1: Hebrew Name </label><label class="label-message" for="input_4"> </label></div><div id="cid_4" class="form-input-wide"> <input type="text" class=" form-textbox" data-type="input-textbox" id="input_4" name="q4_input4" size="20" value="" /> </div></li><li class="form-line" id="id_5"><div class="form-label-top" id="label_5"><label for="input_5"> Camper 1: Nickname </label><label class="label-message" for="input_5"> </label></div><div id="cid_5" class="form-input-wide"> <input type="text" class=" form-textbox" data-type="input-textbox" id="input_5" name="q5_input5" size="20" value="" /> </div></li><li class="form-line" id="id_6"><div class="form-label-top" id="label_6"><label for="input_6"> Camper 1: Gender<span class="form-required">*</span> </label><label class="label-message" for="input_6"> </label></div><div id="cid_6" class="form-input-wide"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_6_0" name="q6_input6" value="Male" /><label id="label_input_6_0" for="input_6_0"><span>Male</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_6_1" name="q6_input6" value="Female" /><label id="label_input_6_1" for="input_6_1"><span>Female</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_7"><div class="form-label-top" id="label_7"><label for="input_7"> Camper 1: Birth Date<span class="form-required">*</span> </label><label class="label-message" for="input_7"> </label></div><div id="cid_7" class="form-input-wide"> <div class="dir_ltr"><span class="form-sub-label-container"><select autocomplete="nope" class="form-dropdown validate[required]" name="q7_birthDate[month]" id="input_7_month"><option></option><option value="1">1 - January</option><option value="2">2 - February</option><option value="3">3 - March</option><option value="4">4 - April</option><option value="5">5 - May</option><option value="6">6 - June</option><option value="7">7 - July</option><option value="8">8 - August</option><option value="9">9 - September</option><option value="10">10 - October</option><option value="11">11 - November</option><option value="12">12 - December</option></select>  <label class="form-sub-label" for="input_7_month" id="sublabel_month">Month</label></span><span class="form-sub-label-container"><select autocomplete="nope" class="form-dropdown validate[required]" name="q7_birthDate[day]" id="input_7_day"><option></option><option value="1">1</option><option value="2">2</option><option value="3">3</option><option value="4">4</option><option value="5">5</option><option value="6">6</option><option value="7">7</option><option value="8">8</option><option value="9">9</option><option value="10">10</option><option value="11">11</option><option value="12">12</option><option value="13">13</option><option value="14">14</option><option value="15">15</option><option value="16">16</option><option value="17">17</option><option value="18">18</option><option value="19">19</option><option value="20">20</option><option value="21">21</option><option value="22">22</option><option value="23">23</option><option value="24">24</option><option value="25">25</option><option value="26">26</option><option value="27">27</option><option value="28">28</option><option value="29">29</option><option value="30">30</option><option value="31">31</option></select>  <label class="form-sub-label" for="input_7_day" id="sublabel_day">Day</label></span><span class="form-sub-label-container"><select autocomplete="nope" class="form-dropdown validate[required]" name="q7_birthDate[year]" id="input_7_year"><option></option><option value="2026">2026</option><option value="2025">2025</option><option value="2024">2024</option><option value="2023">2023</option><option value="2022">2022</option><option value="2021">2021</option><option value="2020">2020</option><option value="2019">2019</option><option value="2018">2018</option><option value="2017">2017</option><option value="2016">2016</option><option value="2015">2015</option><option value="2014">2014</option><option value="2013">2013</option><option value="2012">2012</option><option value="2011">2011</option><option value="2010">2010</option><option value="2009">2009</option><option value="2008">2008</option><option value="2007">2007</option><option value="2006">2006</option><option value="2005">2005</option><option value="2004">2004</option><option value="2003">2003</option><option value="2002">2002</option><option value="2001">2001</option><option value="2000">2000</option><option value="1999">1999</option><option value="1998">1998</option><option value="1997">1997</option><option value="1996">1996</option><option value="1995">1995</option><option value="1994">1994</option><option value="1993">1993</option><option value="1992">1992</option><option value="1991">1991</option><option value="1990">1990</option><option value="1989">1989</option><option value="1988">1988</option><option value="1987">1987</option><option value="1986">1986</option><option value="1985">1985</option><option value="1984">1984</option><option value="1983">1983</option><option value="1982">1982</option><option value="1981">1981</option><option value="1980">1980</option><option value="1979">1979</option><option value="1978">1978</option><option value="1977">1977</option><option value="1976">1976</option><option value="1975">1975</option><option value="1974">1974</option><option value="1973">1973</option><option value="1972">1972</option><option value="1971">1971</option><option value="1970">1970</option><option value="1969">1969</option><option value="1968">1968</option><option value="1967">1967</option><option value="1966">1966</option><option value="1965">1965</option><option value="1964">1964</option><option value="1963">1963</option><option value="1962">1962</option><option value="1961">1961</option><option value="1960">1960</option><option value="1959">1959</option><option value="1958">1958</option><option value="1957">1957</option><option value="1956">1956</option><option value="1955">1955</option><option value="1954">1954</option><option value="1953">1953</option><option value="1952">1952</option><option value="1951">1951</option><option value="1950">1950</option><option value="1949">1949</option><option value="1948">1948</option><option value="1947">1947</option><option value="1946">1946</option><option value="1945">1945</option><option value="1944">1944</option><option value="1943">1943</option><option value="1942">1942</option><option value="1941">1941</option><option value="1940">1940</option><option value="1939">1939</option><option value="1938">1938</option><option value="1937">1937</option><option value="1936">1936</option><option value="1935">1935</option><option value="1934">1934</option><option value="1933">1933</option><option value="1932">1932</option><option value="1931">1931</option><option value="1930">1930</option><option value="1929">1929</option><option value="1928">1928</option><option value="1927">1927</option><option value="1926">1926</option><option value="1925">1925</option><option value="1924">1924</option><option value="1923">1923</option><option value="1922">1922</option><option value="1921">1921</option><option value="1920">1920</option></select>  <label class="form-sub-label" for="input_7_year" id="sublabel_year">Year</label></span></div> </div></li><li class="form-line" id="id_8"><div class="form-label-top" id="label_8"><label for="input_8"> Camper 1: Grade Fall 2026:<span class="form-required">*</span> </label><label class="label-message" for="input_8"> </label></div><div id="cid_8" class="form-input-wide"> <select class="form-dropdown validate[required]" style="width:150px" id="input_8" name="q8_input8"><option value=""></option><option value="Infant/Pre-Toddler">Infant/Pre-Toddler</option><option value="Toddler">Toddler</option><option value="Nursery">Nursery</option><option value="Pre-K">Pre-K</option><option value="Kindergarten">Kindergarten</option><option value="First Grade">First Grade</option><option value="Second Grade">Second Grade</option><option value="Third Grade">Third Grade</option></select> </div></li><li class="form-line" id="id_9"><div class="form-label-top" id="label_9"><label for="input_9"> Camper 1: New/Returning<span class="form-required">*</span> </label><label class="label-message" for="input_9"> </label></div><div id="cid_9" class="form-input-wide"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_9_0" name="q9_input9" value="New Camper" /><label id="label_input_9_0" for="input_9_0"><span>New Camper</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_9_1" name="q9_input9" value="Returning Camper" /><label id="label_input_9_1" for="input_9_1"><span>Returning Camper</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line always-hidden" id="id_125"><div class="form-label-top" id="label_125"><label for="input_125"> Camper 1: Is your child toilet trained? </label><label class="label-message" for="input_125"> </label></div><div id="cid_125" class="form-input-wide"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_125_0" name="q125_input125" value="Yes" /><label id="label_input_125_0" for="input_125_0"><span>Yes</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_125_1" name="q125_input125" value="No" /><label id="label_input_125_1" for="input_125_1"><span>No</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_63"><div class="form-label-top" id="label_63"><label for="input_63"> Age Group<span class="form-required">*</span> </label><label class="label-message" for="input_63"> Campers must be toilet trained to register for Jr or Sr Gan.</label></div><div id="cid_63" class="form-input-wide"> <select class="form-dropdown validate[required]" style="width:150px" id="input_63" name="q63_input63"><option value="">Please Select</option><option value="Tiny Gan Division (9 m - 18 mo)">Tiny Gan Division (9 m - 18 mo)</option><option value="Mini Gan Division (ages 18 mo-3 yr old, ent. T-N)">Mini Gan Division (ages 18 mo-3 yr old, ent. T-N)</option><option value="Junior Gan Division (4 yr old, ent. PreK)">Junior Gan Division (4 yr old, ent. PreK)</option><option value="Senior Gan Division (5-8 yr old, ent. K-3rd grd)">Senior Gan Division (5-8 yr old, ent. K-3rd grd)</option></select> </div></li><li class="form-line" id="id_97"><div class="form-label-top" id="label_97"><label for="input_97"> Mini Gan Sessions<span class="form-required">*</span> </label><label class="label-message" for="input_97"> </label></div><div id="cid_97" class="form-input-wide"> <select class="form-dropdown validate[required]" style="width:150px" id="input_97" name="q97_input97"><option value="">Select Weeks</option><option value="Full Summer, 5 Day Program">Full Summer, 5 Day Program</option><option value="Full Summer, 3 Day Program">Full Summer, 3 Day Program</option><option value="Full Summer, 5 Half Day Program">Full Summer, 5 Half Day Program</option><option value="Full Summer, 3 Half Day Program">Full Summer, 3 Half Day Program</option><option value="Single Week (s), 5 Day Program">Single Week (s), 5 Day Program</option><option value="Single Week (s), 5 Half Day Program">Single Week (s), 5 Half Day Program</option><option value="Single Week (s), 3 Day Program">Single Week (s), 3 Day Program</option><option value="Single Week (s), 3 Half Day Program">Single Week (s), 3 Half Day Program</option></select> </div></li><li class="form-line" id="id_226"><div class="form-label-top" id="label_226"><label for="input_226"> Tiny Gan Sessions<span class="form-required">*</span> </label><label class="label-message" for="input_226"> </label></div><div id="cid_226" class="form-input-wide"> <select class="form-dropdown validate[required]" style="width:150px" id="input_226" name="q226_input226"><option value="">Select Weeks</option><option value="Full Summer, 5 Day Program">Full Summer, 5 Day Program</option><option value="Full Summer, 3 Day Program">Full Summer, 3 Day Program</option><option value="Full Summer, 5 Half Day Program">Full Summer, 5 Half Day Program</option><option value="Full Summer, 3 Half Day Program">Full Summer, 3 Half Day Program</option><option value="Single Week (s), 5 Day Program">Single Week (s), 5 Day Program</option><option value="Single Week (s), 5 Half Day Program">Single Week (s), 5 Half Day Program</option><option value="Single Week (s), 3 Day Program">Single Week (s), 3 Day Program</option><option value="Single Week (s), 3 Half Day Program">Single Week (s), 3 Half Day Program</option></select> </div></li><li class="form-line" id="id_103"><div class="form-label-top" id="label_103"><label for="input_103"> Jr Gan Sessions<span class="form-required">*</span> </label><label class="label-message" for="input_103"> </label></div><div id="cid_103" class="form-input-wide"> <select class="form-dropdown validate[required]" style="width:150px" id="input_103" name="q103_input103"><option value="">Select Weeks</option><option value="Full Summer, 5 Day Program">Full Summer, 5 Day Program</option><option value="Full Summer, 3 Day Program">Full Summer, 3 Day Program</option><option value="Single Week (s), 5 Day Program">Single Week (s), 5 Day Program</option><option value="Single Week (s), 3 Day Program">Single Week (s), 3 Day Program</option></select> </div></li><li class="form-line" id="id_64"><div class="form-label-top" id="label_64"><label for="input_64"> Senior Gan Sessions<span class="form-required">*</span> </label><label class="label-message" for="input_64"> </label></div><div id="cid_64" class="form-input-wide"> <select class="form-dropdown validate[required]" style="width:150px" id="input_64" name="q64_input64"><option value="">Select Weeks</option><option value="Full Summer, 5 Day Program">Full Summer, 5 Day Program</option><option value="Full Summer, 3 Day Program">Full Summer, 3 Day Program</option><option value="Single Week, 5 Day Program">Single Week, 5 Day Program</option><option value="Single Week, 3 Day Program">Single Week, 3 Day Program</option></select> </div></li><li class="form-line" id="id_96"><div class="form-label-top" id="label_96"><label for="input_96"> Tiny, Mini &amp; Jr Gan, 5 Day Program: </label><label class="label-message" for="input_96"> </label></div><div id="cid_96" class="form-input-wide"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_96_0" name="q96_input96[]" value="Week 1: June 29-July 3" /><label id="label_input_96_0" for="input_96_0"><span>Week 1: June 29-July 3</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_96_1" name="q96_input96[]" value="Week 2: July 6-10" /><label id="label_input_96_1" for="input_96_1"><span>Week 2: July 6-10</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_96_2" name="q96_input96[]" value="Week 3: July 13-17" /><label id="label_input_96_2" for="input_96_2"><span>Week 3: July 13-17</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_96_3" name="q96_input96[]" value="Week 4: July 20-24" /><label id="label_input_96_3" for="input_96_3"><span>Week 4: July 20-24</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_96_4" name="q96_input96[]" value="Week 5: July 27- July 31" /><label id="label_input_96_4" for="input_96_4"><span>Week 5: July 27- July 31</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_96_5" name="q96_input96[]" value="Week 6:  Aug 3-Aug 7" /><label id="label_input_96_5" for="input_96_5"><span>Week 6:  Aug 3-Aug 7</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_96_6" name="q96_input96[]" value="Week 7: Aug 10-14" /><label id="label_input_96_6" for="input_96_6"><span>Week 7: Aug 10-14</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_100"><div class="form-label-top" id="label_100"><label for="input_100"> Tiny, Mini &amp; Jr Gan, 3 Day Program: </label><label class="label-message" for="input_100"> </label></div><div id="cid_100" class="form-input-wide"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_100_0" name="q100_input100[]" value="Week 1: June 29—July 3" /><label id="label_input_100_0" for="input_100_0"><span>Week 1: June 29—July 3</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_100_1" name="q100_input100[]" value="Week 2: July 6—10" /><label id="label_input_100_1" for="input_100_1"><span>Week 2: July 6—10</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_100_2" name="q100_input100[]" value="Week 3: July 13—17" /><label id="label_input_100_2" for="input_100_2"><span>Week 3: July 13—17</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_100_3" name="q100_input100[]" value="Week 4: July 20—24" /><label id="label_input_100_3" for="input_100_3"><span>Week 4: July 20—24</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_100_4" name="q100_input100[]" value="Week 5: July 27—Jul 31" /><label id="label_input_100_4" for="input_100_4"><span>Week 5: July 27—Jul 31</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_100_5" name="q100_input100[]" value="Week 6: Aug 3—Aug 7" /><label id="label_input_100_5" for="input_100_5"><span>Week 6: Aug 3—Aug 7</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_100_6" name="q100_input100[]" value="Week 7: Aug 10—14" /><label id="label_input_100_6" for="input_100_6"><span>Week 7: Aug 10—14</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_101"><div class="form-label-top" id="label_101"><label for="input_101"> Tiny &amp; Mini Gan, 5 Half  Day Program: </label><label class="label-message" for="input_101"> </label></div><div id="cid_101" class="form-input-wide"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_101_0" name="q101_input101[]" value="Week 1: June 29—July 3" /><label id="label_input_101_0" for="input_101_0"><span>Week 1: June 29—July 3</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_101_1" name="q101_input101[]" value="Week 2: July 6—10" /><label id="label_input_101_1" for="input_101_1"><span>Week 2: July 6—10</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_101_2" name="q101_input101[]" value="Week 3:July 13—17" /><label id="label_input_101_2" for="input_101_2"><span>Week 3:July 13—17</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_101_3" name="q101_input101[]" value="Week 4: July 20—24" /><label id="label_input_101_3" for="input_101_3"><span>Week 4: July 20—24</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_101_4" name="q101_input101[]" value="Week 5: July 27—Jul 31" /><label id="label_input_101_4" for="input_101_4"><span>Week 5: July 27—Jul 31</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_101_5" name="q101_input101[]" value="Week 6: Aug 3—Aug 7" /><label id="label_input_101_5" for="input_101_5"><span>Week 6: Aug 3—Aug 7</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_101_6" name="q101_input101[]" value="Week 7: Aug 10—14" /><label id="label_input_101_6" for="input_101_6"><span>Week 7: Aug 10—14</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_102"><div class="form-label-top" id="label_102"><label for="input_102"> Tiny &amp; Mini Gan, 3 Half Day Program: </label><label class="label-message" for="input_102"> </label></div><div id="cid_102" class="form-input-wide"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_102_0" name="q102_input102[]" value="Week 1: June 29—July 3" /><label id="label_input_102_0" for="input_102_0"><span>Week 1: June 29—July 3</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_102_1" name="q102_input102[]" value="Week 2: July 6—10" /><label id="label_input_102_1" for="input_102_1"><span>Week 2: July 6—10</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_102_2" name="q102_input102[]" value="Week 3: July 13—17" /><label id="label_input_102_2" for="input_102_2"><span>Week 3: July 13—17</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_102_3" name="q102_input102[]" value="Week 4: July 20—24" /><label id="label_input_102_3" for="input_102_3"><span>Week 4: July 20—24</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_102_4" name="q102_input102[]" value="Week 5: July 27—Jul 31" /><label id="label_input_102_4" for="input_102_4"><span>Week 5: July 27—Jul 31</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_102_5" name="q102_input102[]" value="Week 6: Aug 3—Aug 7" /><label id="label_input_102_5" for="input_102_5"><span>Week 6: Aug 3—Aug 7</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_102_6" name="q102_input102[]" value="Week 7: Aug 10—14" /><label id="label_input_102_6" for="input_102_6"><span>Week 7: Aug 10—14</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_99"><div class="form-label-top" id="label_99"><label for="input_99"> Senior Gan, 5 Day Program: </label><label class="label-message" for="input_99"> </label></div><div id="cid_99" class="form-input-wide"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_99_0" name="q99_input99[]" value="Week 1: June 29—July 3" /><label id="label_input_99_0" for="input_99_0"><span>Week 1: June 29—July 3</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_99_1" name="q99_input99[]" value="Week 2: July 6—10" /><label id="label_input_99_1" for="input_99_1"><span>Week 2: July 6—10</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_99_2" name="q99_input99[]" value="Week 3: July 13—17" /><label id="label_input_99_2" for="input_99_2"><span>Week 3: July 13—17</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_99_3" name="q99_input99[]" value="Week 4: July 20—24" /><label id="label_input_99_3" for="input_99_3"><span>Week 4: July 20—24</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_99_4" name="q99_input99[]" value="Week 5: July 27—Jul 31" /><label id="label_input_99_4" for="input_99_4"><span>Week 5: July 27—Jul 31</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_99_5" name="q99_input99[]" value="Week 6: Aug 3—Aug 7" /><label id="label_input_99_5" for="input_99_5"><span>Week 6: Aug 3—Aug 7</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_99_6" name="q99_input99[]" value="Week 7: Aug 10—14" /><label id="label_input_99_6" for="input_99_6"><span>Week 7: Aug 10—14</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_98"><div class="form-label-top" id="label_98"><label for="input_98"> Senior Gan, 3 Day Program: </label><label class="label-message" for="input_98"> </label></div><div id="cid_98" class="form-input-wide"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_98_0" name="q98_input98[]" value="Week 1: June 29—July 3" /><label id="label_input_98_0" for="input_98_0"><span>Week 1: June 29—July 3</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_98_1" name="q98_input98[]" value="Week 2: July 6—10" /><label id="label_input_98_1" for="input_98_1"><span>Week 2: July 6—10</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_98_2" name="q98_input98[]" value="Week 3: July 13—17" /><label id="label_input_98_2" for="input_98_2"><span>Week 3: July 13—17</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_98_3" name="q98_input98[]" value="Week 4: July 20—24" /><label id="label_input_98_3" for="input_98_3"><span>Week 4: July 20—24</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_98_4" name="q98_input98[]" value="Week 5: July 27—Jul 31" /><label id="label_input_98_4" for="input_98_4"><span>Week 5: July 27—Jul 31</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_98_5" name="q98_input98[]" value="Week 6: Aug 3—Aug 7" /><label id="label_input_98_5" for="input_98_5"><span>Week 6: Aug 3—Aug 7</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_98_6" name="q98_input98[]" value="Week 7: Aug 10—14" /><label id="label_input_98_6" for="input_98_6"><span>Week 7: Aug 10—14</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_51"><div class="form-label-top" id="label_51"><label for="input_51"> Camper 1: If attending 3 days/week, please specify which days </label><label class="label-message" for="input_51"> </label></div><div id="cid_51" class="form-input-wide"> <input type="text" class=" form-textbox" data-type="input-textbox" id="input_51" name="q51_input51" size="40" value="" /> </div></li><li class="form-line" id="id_49"><div class="form-label-top" id="label_49"><label for="input_49"> Camper 1: Number of weeks requiring before/aftercare: </label><label class="label-message" for="input_49"> </label></div><div id="cid_49" class="form-input-wide"> <input type="number" class="form-number-input  form-textbox" id="input_49" name="q49_number49" style="width:68px" size="6" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" max="7" data-numbermax="7" /> </div></li><li class="form-line" id="id_165"><div class="form-label-top" id="label_165"><label for="input_165"> Number of hours of before/aftercare for Week 1: </label><label class="label-message" for="input_165"> </label></div><div id="cid_165" class="form-input-wide"> <span class="form-sub-label-container"><input type="number" class="form-number-input  form-textbox" id="input_165" name="q165_number165" style="width:68px" size="6" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" />  <label class="form-sub-label" for="input_165">$55/hr/week</label></span> </div></li><li class="form-line" id="id_166"><div class="form-label-top" id="label_166"><label for="input_166"> Number of hours of before/aftercare for Week 2: </label><label class="label-message" for="input_166"> </label></div><div id="cid_166" class="form-input-wide"> <span class="form-sub-label-container"><input type="number" class="form-number-input  form-textbox" id="input_166" name="q166_number166" style="width:68px" size="6" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" />  <label class="form-sub-label" for="input_166">$55/hr/week</label></span> </div></li><li class="form-line" id="id_167"><div class="form-label-top" id="label_167"><label for="input_167"> Number of hours of before/aftercare for Week 3: </label><label class="label-message" for="input_167"> </label></div><div id="cid_167" class="form-input-wide"> <span class="form-sub-label-container"><input type="number" class="form-number-input  form-textbox" id="input_167" name="q167_number167" style="width:68px" size="6" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" />  <label class="form-sub-label" for="input_167">$55/hr/week</label></span> </div></li><li class="form-line" id="id_168"><div class="form-label-top" id="label_168"><label for="input_168"> Number of hours of before/aftercare for Week 4: </label><label class="label-message" for="input_168"> </label></div><div id="cid_168" class="form-input-wide"> <span class="form-sub-label-container"><input type="number" class="form-number-input  form-textbox" id="input_168" name="q168_number168" style="width:68px" size="6" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" />  <label class="form-sub-label" for="input_168">$55/hr/week</label></span> </div></li><li class="form-line" id="id_169"><div class="form-label-top" id="label_169"><label for="input_169"> Number of hours of before/aftercare for Week 5: </label><label class="label-message" for="input_169"> </label></div><div id="cid_169" class="form-input-wide"> <span class="form-sub-label-container"><input type="number" class="form-number-input  form-textbox" id="input_169" name="q169_number169" style="width:68px" size="6" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" />  <label class="form-sub-label" for="input_169">$55/hr/week</label></span> </div></li><li class="form-line" id="id_170"><div class="form-label-top" id="label_170"><label for="input_170"> Number of hours of before/aftercare for Week 6: </label><label class="label-message" for="input_170"> </label></div><div id="cid_170" class="form-input-wide"> <span class="form-sub-label-container"><input type="number" class="form-number-input  form-textbox" id="input_170" name="q170_number170" style="width:68px" size="6" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" />  <label class="form-sub-label" for="input_170">$55/hr/week</label></span> </div></li><li class="form-line" id="id_171"><div class="form-label-top" id="label_171"><label for="input_171"> Number of hours of before/aftercare for Week 7: </label><label class="label-message" for="input_171"> </label></div><div id="cid_171" class="form-input-wide"> <span class="form-sub-label-container"><input type="number" class="form-number-input  form-textbox" id="input_171" name="q171_number171" style="width:68px" size="6" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" />  <label class="form-sub-label" for="input_171">$55/hr/week</label></span> </div></li><li class="form-line" id="id_68"><div class="form-label-top" id="label_68"><label for="input_68"> Camper 1: Please specify: </label><label class="label-message" for="input_68"> </label></div><div id="cid_68" class="form-input-wide"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_68_0" name="q68_input68[]" value="Before Care (avail. from 8-9 am)" /><label id="label_input_68_0" for="input_68_0"><span>Before Care (avail. from 8-9 am)</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_68_1" name="q68_input68[]" value="After Care (avail. from 3-5:30 pm)" /><label id="label_input_68_1" for="input_68_1"><span>After Care (avail. from 3-5:30 pm)</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_52"><div class="form-label-top" id="label_52"><label for="input_52"> Camper 1: Please specify which days/times, if needed </label><label class="label-message" for="input_52"> </label></div><div id="cid_52" class="form-input-wide"> <input type="text" class=" form-textbox" data-type="input-textbox" id="input_52" name="q52_input52" size="40" value="" /> </div></li><li class="form-line" id="id_130"><div class="form-label-top" id="label_130"><label for="input_130"> Camper 1: My child receives support services through EI or CPSE:<span class="form-required">*</span> </label><label class="label-message" for="input_130"> </label></div><div id="cid_130" class="form-input-wide"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_130_0" name="q130_input130" value="Yes" /><label id="label_input_130_0" for="input_130_0"><span>Yes</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_130_1" name="q130_input130" value="No" /><label id="label_input_130_1" for="input_130_1"><span>No</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_131"><div class="form-label-top" id="label_131"><label for="input_131"> SUPPORT SERVICES Occupational Therapy </label><label class="label-message" for="input_131"> </label></div><div id="cid_131" class="form-input-wide"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_131_0" name="q131_input131" value="10 months" /><label id="label_input_131_0" for="input_131_0"><span>10 months</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_131_1" name="q131_input131" value="12 months" /><label id="label_input_131_1" for="input_131_1"><span>12 months</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_131_2" name="q131_input131" value="N/A" /><label id="label_input_131_2" for="input_131_2"><span>N/A</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_132"><div class="form-label-top" id="label_132"><label for="input_132"> Mandate (hours and times per week: </label><label class="label-message" for="input_132"> </label></div><div id="cid_132" class="form-input-wide"> <input type="text" class=" form-textbox" data-type="input-textbox" id="input_132" name="q132_input132" size="20" value="" /> </div></li><li class="form-line" id="id_133"><div class="form-label-top" id="label_133"><label for="input_133"> SUPPORT SERVICES Physical Therapy  </label><label class="label-message" for="input_133"> </label></div><div id="cid_133" class="form-input-wide"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_133_0" name="q133_input133" value="10 months" /><label id="label_input_133_0" for="input_133_0"><span>10 months</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_133_1" name="q133_input133" value="12 months" /><label id="label_input_133_1" for="input_133_1"><span>12 months</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_133_2" name="q133_input133" value="N/A" /><label id="label_input_133_2" for="input_133_2"><span>N/A</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_134"><div class="form-label-top" id="label_134"><label for="input_134"> Mandate (hours and times per week: </label><label class="label-message" for="input_134"> </label></div><div id="cid_134" class="form-input-wide"> <input type="text" class=" form-textbox" data-type="input-textbox" id="input_134" name="q134_input134" size="20" value="" /> </div></li><li class="form-line" id="id_135"><div class="form-label-top" id="label_135"><label for="input_135"> SUPPORT SERVICES Speech Therapy </label><label class="label-message" for="input_135"> </label></div><div id="cid_135" class="form-input-wide"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_135_0" name="q135_input135" value="10 months" /><label id="label_input_135_0" for="input_135_0"><span>10 months</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_135_1" name="q135_input135" value="12 months" /><label id="label_input_135_1" for="input_135_1"><span>12 months</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_135_2" name="q135_input135" value="N/A" /><label id="label_input_135_2" for="input_135_2"><span>N/A</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_138"><div class="form-label-top" id="label_138"><label for="input_138"> Mandate (hours and times per week: </label><label class="label-message" for="input_138"> </label></div><div id="cid_138" class="form-input-wide"> <input type="text" class=" form-textbox" data-type="input-textbox" id="input_138" name="q138_input138" size="20" value="" /> </div></li><li class="form-line" id="id_136"><div class="form-label-top" id="label_136"><label for="input_136"> SUPPORT SERVICES Special Instruction/SEIS   </label><label class="label-message" for="input_136"> </label></div><div id="cid_136" class="form-input-wide"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_136_0" name="q136_input136" value="10 months" /><label id="label_input_136_0" for="input_136_0"><span>10 months</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_136_1" name="q136_input136" value="12 months" /><label id="label_input_136_1" for="input_136_1"><span>12 months</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_136_2" name="q136_input136" value="N/A" /><label id="label_input_136_2" for="input_136_2"><span>N/A</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_137"><div class="form-label-top" id="label_137"><label for="input_137"> Mandate (hours and times per week: </label><label class="label-message" for="input_137"> </label></div><div id="cid_137" class="form-input-wide"> <input type="text" class=" form-textbox" data-type="input-textbox" id="input_137" name="q137_input137" size="20" value="" /> </div></li><li class="form-line" id="id_69"><div class="form-label-top" id="label_69"><label for="input_69"> Camper 1: Any special concerns / allergies / requests regarding camper? </label><label class="label-message" for="input_69"> </label></div><div id="cid_69" class="form-input-wide"> <textarea id="input_69" class="form-textarea" name="q69_input69" cols="40" rows="6"></textarea> </div></li><li class="form-line" id="id_230"><div class="form-label-top" id="label_230"><label for="input_230"> Camper 1: Camp T-shirt Size </label><label class="label-message" for="input_230"> </label></div><div id="cid_230" class="form-input-wide"> <select class="form-dropdown" style="width:150px" id="input_230" name="q230_input230"><option value=""></option><option value="2T">2T</option><option value="3T">3T</option><option value="4T">4T</option><option value="Child extra small">Child extra small</option><option value="Child small">Child small</option><option value="Child medium">Child medium</option></select> </div></li><li id="cid_10" class="form-input-wide"> <div class="form-header-group"><h2 id="header_10" class="form-header"></h2><div id="subHeader_10" class="form-subHeader">Camper 2</div></div> </li><li class="form-line" id="id_12"><div class="form-label-top" id="label_12"><label for="input_12"> Camper 2: Full Name<span class="form-required">*</span> </label><label class="label-message" for="input_12"> </label></div><div id="cid_12" class="form-input-wide"> <span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q12_fullName12[first]" id="first_12" autocomplete="given-name" />  <label class="form-sub-label" for="first_12" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q12_fullName12[last]" id="last_12" autocomplete="family-name" />  <label class="form-sub-label" for="last_12" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_14"><div class="form-label-top" id="label_14"><label for="input_14"> Camper 2: Hebrew Name </label><label class="label-message" for="input_14"> </label></div><div id="cid_14" class="form-input-wide"> <input type="text" class=" form-textbox" data-type="input-textbox" id="input_14" name="q14_input14" size="20" value="" /> </div></li><li class="form-line" id="id_17"><div class="form-label-top" id="label_17"><label for="input_17"> Camper 2: Nickname </label><label class="label-message" for="input_17"> </label></div><div id="cid_17" class="form-input-wide"> <input type="text" class=" form-textbox" data-type="input-textbox" id="input_17" name="q17_input17" size="20" value="" /> </div></li><li class="form-line" id="id_18"><div class="form-label-top" id="label_18"><label for="input_18"> Camper 2: Gender<span class="form-required">*</span> </label><label class="label-message" for="input_18"> </label></div><div id="cid_18" class="form-input-wide"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_18_0" name="q18_input18" value="Male" /><label id="label_input_18_0" for="input_18_0"><span>Male</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_18_1" name="q18_input18" value="Female" /><label id="label_input_18_1" for="input_18_1"><span>Female</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_19"><div class="form-label-top" id="label_19"><label for="input_19"> Camper 2: Birth Date<span class="form-required">*</span> </label><label class="label-message" for="input_19"> </label></div><div id="cid_19" class="form-input-wide"> <div class="dir_ltr"><span class="form-sub-label-container"><select autocomplete="nope" class="form-dropdown validate[required]" name="q19_birthDate19[month]" id="input_19_month"><option></option><option value="1">1 - January</option><option value="2">2 - February</option><option value="3">3 - March</option><option value="4">4 - April</option><option value="5">5 - May</option><option value="6">6 - June</option><option value="7">7 - July</option><option value="8">8 - August</option><option value="9">9 - September</option><option value="10">10 - October</option><option value="11">11 - November</option><option value="12">12 - December</option></select>  <label class="form-sub-label" for="input_19_month" id="sublabel_month">Month</label></span><span class="form-sub-label-container"><select autocomplete="nope" class="form-dropdown validate[required]" name="q19_birthDate19[day]" id="input_19_day"><option></option><option value="1">1</option><option value="2">2</option><option value="3">3</option><option value="4">4</option><option value="5">5</option><option value="6">6</option><option value="7">7</option><option value="8">8</option><option value="9">9</option><option value="10">10</option><option value="11">11</option><option value="12">12</option><option value="13">13</option><option value="14">14</option><option value="15">15</option><option value="16">16</option><option value="17">17</option><option value="18">18</option><option value="19">19</option><option value="20">20</option><option value="21">21</option><option value="22">22</option><option value="23">23</option><option value="24">24</option><option value="25">25</option><option value="26">26</option><option value="27">27</option><option value="28">28</option><option value="29">29</option><option value="30">30</option><option value="31">31</option></select>  <label class="form-sub-label" for="input_19_day" id="sublabel_day">Day</label></span><span class="form-sub-label-container"><select autocomplete="nope" class="form-dropdown validate[required]" name="q19_birthDate19[year]" id="input_19_year"><option></option><option value="2026">2026</option><option value="2025">2025</option><option value="2024">2024</option><option value="2023">2023</option><option value="2022">2022</option><option value="2021">2021</option><option value="2020">2020</option><option value="2019">2019</option><option value="2018">2018</option><option value="2017">2017</option><option value="2016">2016</option><option value="2015">2015</option><option value="2014">2014</option><option value="2013">2013</option><option value="2012">2012</option><option value="2011">2011</option><option value="2010">2010</option><option value="2009">2009</option><option value="2008">2008</option><option value="2007">2007</option><option value="2006">2006</option><option value="2005">2005</option><option value="2004">2004</option><option value="2003">2003</option><option value="2002">2002</option><option value="2001">2001</option><option value="2000">2000</option><option value="1999">1999</option><option value="1998">1998</option><option value="1997">1997</option><option value="1996">1996</option><option value="1995">1995</option><option value="1994">1994</option><option value="1993">1993</option><option value="1992">1992</option><option value="1991">1991</option><option value="1990">1990</option><option value="1989">1989</option><option value="1988">1988</option><option value="1987">1987</option><option value="1986">1986</option><option value="1985">1985</option><option value="1984">1984</option><option value="1983">1983</option><option value="1982">1982</option><option value="1981">1981</option><option value="1980">1980</option><option value="1979">1979</option><option value="1978">1978</option><option value="1977">1977</option><option value="1976">1976</option><option value="1975">1975</option><option value="1974">1974</option><option value="1973">1973</option><option value="1972">1972</option><option value="1971">1971</option><option value="1970">1970</option><option value="1969">1969</option><option value="1968">1968</option><option value="1967">1967</option><option value="1966">1966</option><option value="1965">1965</option><option value="1964">1964</option><option value="1963">1963</option><option value="1962">1962</option><option value="1961">1961</option><option value="1960">1960</option><option value="1959">1959</option><option value="1958">1958</option><option value="1957">1957</option><option value="1956">1956</option><option value="1955">1955</option><option value="1954">1954</option><option value="1953">1953</option><option value="1952">1952</option><option value="1951">1951</option><option value="1950">1950</option><option value="1949">1949</option><option value="1948">1948</option><option value="1947">1947</option><option value="1946">1946</option><option value="1945">1945</option><option value="1944">1944</option><option value="1943">1943</option><option value="1942">1942</option><option value="1941">1941</option><option value="1940">1940</option><option value="1939">1939</option><option value="1938">1938</option><option value="1937">1937</option><option value="1936">1936</option><option value="1935">1935</option><option value="1934">1934</option><option value="1933">1933</option><option value="1932">1932</option><option value="1931">1931</option><option value="1930">1930</option><option value="1929">1929</option><option value="1928">1928</option><option value="1927">1927</option><option value="1926">1926</option><option value="1925">1925</option><option value="1924">1924</option><option value="1923">1923</option><option value="1922">1922</option><option value="1921">1921</option><option value="1920">1920</option></select>  <label class="form-sub-label" for="input_19_year" id="sublabel_year">Year</label></span></div> </div></li><li class="form-line" id="id_20"><div class="form-label-top" id="label_20"><label for="input_20"> Camper 2: Grade Fall 2026 </label><label class="label-message" for="input_20"> </label></div><div id="cid_20" class="form-input-wide"> <select class="form-dropdown" style="width:150px" id="input_20" name="q20_input20"><option value=""></option><option value="Infant/Pre-Toddler">Infant/Pre-Toddler</option><option value="Toddler">Toddler</option><option value="Nursery">Nursery</option><option value="Pre-K">Pre-K</option><option value="Kindergarten">Kindergarten</option><option value="First Grade">First Grade</option><option value="Second Grade">Second Grade</option><option value="Third Grade">Third Grade</option></select> </div></li><li class="form-line" id="id_21"><div class="form-label-top" id="label_21"><label for="input_21"> Camper 2: New/Returning<span class="form-required">*</span> </label><label class="label-message" for="input_21"> </label></div><div id="cid_21" class="form-input-wide"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_21_0" name="q21_input21" value="New Camper" /><label id="label_input_21_0" for="input_21_0"><span>New Camper</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_21_1" name="q21_input21" value="Returning Camper" /><label id="label_input_21_1" for="input_21_1"><span>Returning Camper</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line always-hidden" id="id_126"><div class="form-label-top" id="label_126"><label for="input_126"> Camper 2: Is your child toilet trained? </label><label class="label-message" for="input_126"> </label></div><div id="cid_126" class="form-input-wide"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_126_0" name="q126_input126" value="Yes" /><label id="label_input_126_0" for="input_126_0"><span>Yes</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_126_1" name="q126_input126" value="No" /><label id="label_input_126_1" for="input_126_1"><span>No</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_70"><div class="form-label-top" id="label_70"><label for="input_70"> Age Group<span class="form-required">*</span> </label><label class="label-message" for="input_70"> Campers must be toilet trained to register for Jr or Sr Gan.</label></div><div id="cid_70" class="form-input-wide"> <select class="form-dropdown validate[required]" style="width:150px" id="input_70" name="q70_input70"><option value="">Please Select</option><option value="Tiny Gan Division (9 m - 18 mo)">Tiny Gan Division (9 m - 18 mo)</option><option value="Mini Gan Division (ages 18 mo-3 yr old, ent. T-N)">Mini Gan Division (ages 18 mo-3 yr old, ent. T-N)</option><option value="Junior Gan Division (4 yr old, ent. PreK)">Junior Gan Division (4 yr old, ent. PreK)</option><option value="Senior Gan Division (5-8 yr old, ent. K-3rd grd)">Senior Gan Division (5-8 yr old, ent. K-3rd grd)</option></select> </div></li><li class="form-line" id="id_106"><div class="form-label-top" id="label_106"><label for="input_106"> Mini Gan Sessions<span class="form-required">*</span> </label><label class="label-message" for="input_106"> </label></div><div id="cid_106" class="form-input-wide"> <select class="form-dropdown validate[required]" style="width:150px" id="input_106" name="q106_input106"><option value="">Select Weeks</option><option value="Full Summer, 5 Day Program">Full Summer, 5 Day Program</option><option value="Full Summer, 3 Day Program">Full Summer, 3 Day Program</option><option value="Full Summer, 5 Half Day Program">Full Summer, 5 Half Day Program</option><option value="Full Summer, 3 Half Day Program">Full Summer, 3 Half Day Program</option><option value="Single Week (s), 5 Day Program">Single Week (s), 5 Day Program</option><option value="Single Week (s), 5 Half Day Program">Single Week (s), 5 Half Day Program</option><option value="Single Week (s), 3 Day Program">Single Week (s), 3 Day Program</option><option value="Single Week (s), 3 Half Day Program">Single Week (s), 3 Half Day Program</option></select> </div></li><li class="form-line" id="id_227"><div class="form-label-top" id="label_227"><label for="input_227"> Tiny Gan Sessions<span class="form-required">*</span> </label><label class="label-message" for="input_227"> </label></div><div id="cid_227" class="form-input-wide"> <select class="form-dropdown validate[required]" style="width:150px" id="input_227" name="q227_input227"><option value="">Select Weeks</option><option value="Full Summer, 5 Day Program">Full Summer, 5 Day Program</option><option value="Full Summer, 3 Day Program">Full Summer, 3 Day Program</option><option value="Full Summer, 5 Half Day Program">Full Summer, 5 Half Day Program</option><option value="Full Summer, 3 Half Day Program">Full Summer, 3 Half Day Program</option><option value="Single Week (s), 5 Day Program">Single Week (s), 5 Day Program</option><option value="Single Week (s), 5 Half Day Program">Single Week (s), 5 Half Day Program</option><option value="Single Week (s), 3 Day Program">Single Week (s), 3 Day Program</option><option value="Single Week (s), 3 Half Day Program">Single Week (s), 3 Half Day Program</option></select> </div></li><li class="form-line" id="id_107"><div class="form-label-top" id="label_107"><label for="input_107"> Jr Gan Sessions<span class="form-required">*</span> </label><label class="label-message" for="input_107"> </label></div><div id="cid_107" class="form-input-wide"> <select class="form-dropdown validate[required]" style="width:150px" id="input_107" name="q107_input107"><option value="">Select Weeks</option><option value="Full Summer, 5 Day Program">Full Summer, 5 Day Program</option><option value="Full Summer, 3 Day Program">Full Summer, 3 Day Program</option><option value="Single Week (s), 5 Day Program">Single Week (s), 5 Day Program</option><option value="Single Week (s), 3 Day Program">Single Week (s), 3 Day Program</option></select> </div></li><li class="form-line" id="id_109"><div class="form-label-top" id="label_109"><label for="input_109"> Tiny, Mini &amp; Jr Gan, 5 Day Program: </label><label class="label-message" for="input_109"> </label></div><div id="cid_109" class="form-input-wide"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_109_0" name="q109_input109[]" value="Week 1: June 29—July 3" /><label id="label_input_109_0" for="input_109_0"><span>Week 1: June 29—July 3</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_109_1" name="q109_input109[]" value="Week 2: July 6—10" /><label id="label_input_109_1" for="input_109_1"><span>Week 2: July 6—10</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_109_2" name="q109_input109[]" value="Week 3: July 13—17" /><label id="label_input_109_2" for="input_109_2"><span>Week 3: July 13—17</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_109_3" name="q109_input109[]" value="Week 4: July 20—24" /><label id="label_input_109_3" for="input_109_3"><span>Week 4: July 20—24</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_109_4" name="q109_input109[]" value="Week 5: July 27—Jul 31" /><label id="label_input_109_4" for="input_109_4"><span>Week 5: July 27—Jul 31</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_109_5" name="q109_input109[]" value="Week 6: Aug 3—Aug 7" /><label id="label_input_109_5" for="input_109_5"><span>Week 6: Aug 3—Aug 7</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_109_6" name="q109_input109[]" value="Week 7: Aug 10—14" /><label id="label_input_109_6" for="input_109_6"><span>Week 7: Aug 10—14</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_110"><div class="form-label-top" id="label_110"><label for="input_110"> Tiny, Mini &amp; Jr Gan, 3 Day Program: </label><label class="label-message" for="input_110"> </label></div><div id="cid_110" class="form-input-wide"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_110_0" name="q110_input110[]" value="Week 1: June 29—July 3" /><label id="label_input_110_0" for="input_110_0"><span>Week 1: June 29—July 3</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_110_1" name="q110_input110[]" value="Week 2: July 6—10" /><label id="label_input_110_1" for="input_110_1"><span>Week 2: July 6—10</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_110_2" name="q110_input110[]" value="Week 3: July 13—17" /><label id="label_input_110_2" for="input_110_2"><span>Week 3: July 13—17</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_110_3" name="q110_input110[]" value="Week 4: July 20—24" /><label id="label_input_110_3" for="input_110_3"><span>Week 4: July 20—24</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_110_4" name="q110_input110[]" value="Week 5: July 27—Jul 31" /><label id="label_input_110_4" for="input_110_4"><span>Week 5: July 27—Jul 31</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_110_5" name="q110_input110[]" value="Week 6: Aug 3—Aug 7" /><label id="label_input_110_5" for="input_110_5"><span>Week 6: Aug 3—Aug 7</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_110_6" name="q110_input110[]" value="Week 7: Aug 10—14" /><label id="label_input_110_6" for="input_110_6"><span>Week 7: Aug 10—14</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_111"><div class="form-label-top" id="label_111"><label for="input_111"> Tiny &amp; Mini Gan, 5 Half  Day Program: </label><label class="label-message" for="input_111"> </label></div><div id="cid_111" class="form-input-wide"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_111_0" name="q111_input111[]" value="Week 1: June 29—July 3" /><label id="label_input_111_0" for="input_111_0"><span>Week 1: June 29—July 3</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_111_1" name="q111_input111[]" value="Week 2: July 6—10" /><label id="label_input_111_1" for="input_111_1"><span>Week 2: July 6—10</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_111_2" name="q111_input111[]" value="Week 3: July 13—17" /><label id="label_input_111_2" for="input_111_2"><span>Week 3: July 13—17</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_111_3" name="q111_input111[]" value="Week 4: July 20—24" /><label id="label_input_111_3" for="input_111_3"><span>Week 4: July 20—24</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_111_4" name="q111_input111[]" value="Week 5: July 27—Jul 31" /><label id="label_input_111_4" for="input_111_4"><span>Week 5: July 27—Jul 31</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_111_5" name="q111_input111[]" value="Week 6: Aug 3—Aug 7" /><label id="label_input_111_5" for="input_111_5"><span>Week 6: Aug 3—Aug 7</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_111_6" name="q111_input111[]" value="Week 7: Aug 10—14" /><label id="label_input_111_6" for="input_111_6"><span>Week 7: Aug 10—14</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_112"><div class="form-label-top" id="label_112"><label for="input_112"> Tiny &amp; Mini Gan, 3 Half Day Program: </label><label class="label-message" for="input_112"> </label></div><div id="cid_112" class="form-input-wide"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_112_0" name="q112_input112[]" value="Week 1: June 29—July 3" /><label id="label_input_112_0" for="input_112_0"><span>Week 1: June 29—July 3</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_112_1" name="q112_input112[]" value="Week 2: July 6—10" /><label id="label_input_112_1" for="input_112_1"><span>Week 2: July 6—10</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_112_2" name="q112_input112[]" value="Week 3:July 13—17" /><label id="label_input_112_2" for="input_112_2"><span>Week 3:July 13—17</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_112_3" name="q112_input112[]" value="Week 4:July 20—24" /><label id="label_input_112_3" for="input_112_3"><span>Week 4:July 20—24</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_112_4" name="q112_input112[]" value="Week 5: July 27—Jul 31" /><label id="label_input_112_4" for="input_112_4"><span>Week 5: July 27—Jul 31</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_112_5" name="q112_input112[]" value="Week 6: Aug 3—Aug 7" /><label id="label_input_112_5" for="input_112_5"><span>Week 6: Aug 3—Aug 7</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_112_6" name="q112_input112[]" value="Week 7: Aug 10—14" /><label id="label_input_112_6" for="input_112_6"><span>Week 7: Aug 10—14</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_108"><div class="form-label-top" id="label_108"><label for="input_108"> Senior Gan Sessions<span class="form-required">*</span> </label><label class="label-message" for="input_108"> </label></div><div id="cid_108" class="form-input-wide"> <select class="form-dropdown validate[required]" style="width:150px" id="input_108" name="q108_input108"><option value="">Select Weeks</option><option value="Full Summer, 5 Day Program">Full Summer, 5 Day Program</option><option value="Full Summer, 3 Day Program">Full Summer, 3 Day Program</option><option value="Single Week, 5 Day Program">Single Week, 5 Day Program</option><option value="Single Week, 3 Day Program">Single Week, 3 Day Program</option></select> </div></li><li class="form-line" id="id_113"><div class="form-label-top" id="label_113"><label for="input_113"> Senior Gan, 5 Day Program: </label><label class="label-message" for="input_113"> </label></div><div id="cid_113" class="form-input-wide"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_113_0" name="q113_input113[]" value="Week 1: June 29—July 3" /><label id="label_input_113_0" for="input_113_0"><span>Week 1: June 29—July 3</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_113_1" name="q113_input113[]" value="Week 2: July 6—10" /><label id="label_input_113_1" for="input_113_1"><span>Week 2: July 6—10</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_113_2" name="q113_input113[]" value="Week 3: July 13—17" /><label id="label_input_113_2" for="input_113_2"><span>Week 3: July 13—17</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_113_3" name="q113_input113[]" value="Week 4: July 20—24" /><label id="label_input_113_3" for="input_113_3"><span>Week 4: July 20—24</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_113_4" name="q113_input113[]" value="Week 5: July 27—Jul 31" /><label id="label_input_113_4" for="input_113_4"><span>Week 5: July 27—Jul 31</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_113_5" name="q113_input113[]" value="Week 6: Aug 3—Aug 7" /><label id="label_input_113_5" for="input_113_5"><span>Week 6: Aug 3—Aug 7</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_113_6" name="q113_input113[]" value="Week 7: Aug 10—14" /><label id="label_input_113_6" for="input_113_6"><span>Week 7: Aug 10—14</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_114"><div class="form-label-top" id="label_114"><label for="input_114"> Senior Gan, 3 Day Program: </label><label class="label-message" for="input_114"> </label></div><div id="cid_114" class="form-input-wide"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_114_0" name="q114_input114[]" value="Week 1: June 29—July 3" /><label id="label_input_114_0" for="input_114_0"><span>Week 1: June 29—July 3</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_114_1" name="q114_input114[]" value="Week 2: July 6—10" /><label id="label_input_114_1" for="input_114_1"><span>Week 2: July 6—10</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_114_2" name="q114_input114[]" value="Week 3: July 13—17" /><label id="label_input_114_2" for="input_114_2"><span>Week 3: July 13—17</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_114_3" name="q114_input114[]" value="Week 4: July 20—24" /><label id="label_input_114_3" for="input_114_3"><span>Week 4: July 20—24</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_114_4" name="q114_input114[]" value="Week 5: July 27—Jul 31" /><label id="label_input_114_4" for="input_114_4"><span>Week 5: July 27—Jul 31</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_114_5" name="q114_input114[]" value="Week 6: Aug 3—Aug 7" /><label id="label_input_114_5" for="input_114_5"><span>Week 6: Aug 3—Aug 7</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_114_6" name="q114_input114[]" value="Week 7: Aug 10—14" /><label id="label_input_114_6" for="input_114_6"><span>Week 7: Aug 10—14</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_55"><div class="form-label-top" id="label_55"><label for="input_55"> Camper 2: If attending 3 days/week, please specify which days </label><label class="label-message" for="input_55"> </label></div><div id="cid_55" class="form-input-wide"> <input type="text" class=" form-textbox" data-type="input-textbox" id="input_55" name="q55_input55" size="40" value="" /> </div></li><li class="form-line always-hidden" id="id_95"><div class="form-label-top" id="label_95"><label for="input_95"> Camper 2: Number of Weekly Before/After Care Hours </label><label class="label-message" for="input_95"> </label></div><div id="cid_95" class="form-input-wide"> <span class="form-sub-label-container"><input type="number" class="form-number-input  form-textbox" id="input_95" name="q95_number95" style="width:60px" size="5" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" />  <label class="form-sub-label" for="input_95">$35/hr/week</label></span> </div></li><li class="form-line" id="id_54"><div class="form-label-top" id="label_54"><label for="input_54"> Camper 2: Number of weeks requiring before/aftercare: </label><label class="label-message" for="input_54"> </label></div><div id="cid_54" class="form-input-wide"> <input type="number" class="form-number-input  form-textbox" id="input_54" name="q54_number54" style="width:68px" size="6" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" max="7" data-numbermax="7" /> </div></li><li class="form-line" id="id_172"><div class="form-label-top" id="label_172"><label for="input_172"> Number of hours of before/aftercare for Week 1: </label><label class="label-message" for="input_172"> </label></div><div id="cid_172" class="form-input-wide"> <span class="form-sub-label-container"><input type="number" class="form-number-input  form-textbox" id="input_172" name="q172_number172" style="width:68px" size="6" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" />  <label class="form-sub-label" for="input_172">$55/hr/week</label></span> </div></li><li class="form-line" id="id_173"><div class="form-label-top" id="label_173"><label for="input_173"> Number of hours of before/aftercare for Week 2: </label><label class="label-message" for="input_173"> </label></div><div id="cid_173" class="form-input-wide"> <span class="form-sub-label-container"><input type="number" class="form-number-input  form-textbox" id="input_173" name="q173_number173" style="width:68px" size="6" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" />  <label class="form-sub-label" for="input_173">$55/hr/week</label></span> </div></li><li class="form-line" id="id_174"><div class="form-label-top" id="label_174"><label for="input_174"> Number of hours of before/aftercare for Week 3: </label><label class="label-message" for="input_174"> </label></div><div id="cid_174" class="form-input-wide"> <span class="form-sub-label-container"><input type="number" class="form-number-input  form-textbox" id="input_174" name="q174_number174" style="width:68px" size="6" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" />  <label class="form-sub-label" for="input_174">$55/hr/week</label></span> </div></li><li class="form-line" id="id_175"><div class="form-label-top" id="label_175"><label for="input_175"> Number of hours of before/aftercare for Week 4: </label><label class="label-message" for="input_175"> </label></div><div id="cid_175" class="form-input-wide"> <span class="form-sub-label-container"><input type="number" class="form-number-input  form-textbox" id="input_175" name="q175_number175" style="width:68px" size="6" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" />  <label class="form-sub-label" for="input_175">$55/hr/week</label></span> </div></li><li class="form-line" id="id_176"><div class="form-label-top" id="label_176"><label for="input_176"> Number of hours of before/aftercare for Week 5: </label><label class="label-message" for="input_176"> </label></div><div id="cid_176" class="form-input-wide"> <span class="form-sub-label-container"><input type="number" class="form-number-input  form-textbox" id="input_176" name="q176_number176" style="width:68px" size="6" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" />  <label class="form-sub-label" for="input_176">$55/hr/week</label></span> </div></li><li class="form-line" id="id_177"><div class="form-label-top" id="label_177"><label for="input_177"> Number of hours of before/aftercare for Week 6: </label><label class="label-message" for="input_177"> </label></div><div id="cid_177" class="form-input-wide"> <span class="form-sub-label-container"><input type="number" class="form-number-input  form-textbox" id="input_177" name="q177_number177" style="width:68px" size="6" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" />  <label class="form-sub-label" for="input_177">$55/hr/week</label></span> </div></li><li class="form-line" id="id_178"><div class="form-label-top" id="label_178"><label for="input_178"> Number of hours of before/aftercare for Week 7: </label><label class="label-message" for="input_178"> </label></div><div id="cid_178" class="form-input-wide"> <span class="form-sub-label-container"><input type="number" class="form-number-input  form-textbox" id="input_178" name="q178_number178" style="width:68px" size="6" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" />  <label class="form-sub-label" for="input_178">$55/hr/week</label></span> </div></li><li class="form-line" id="id_77"><div class="form-label-top" id="label_77"><label for="input_77"> Camper 2: Please specify: </label><label class="label-message" for="input_77"> </label></div><div id="cid_77" class="form-input-wide"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_77_0" name="q77_input77[]" value="Before Care (avail. from 8-9 am)" /><label id="label_input_77_0" for="input_77_0"><span>Before Care (avail. from 8-9 am)</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_77_1" name="q77_input77[]" value="After Care (avail. from 3-5:30 pm)" /><label id="label_input_77_1" for="input_77_1"><span>After Care (avail. from 3-5:30 pm)</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line always-hidden" id="id_75"><div class="form-label-top" id="label_75"><label for="input_75"> Camper 2: If needed, please specify days here: </label><label class="label-message" for="input_75"> </label></div><div id="cid_75" class="form-input-wide"> <input type="text" class=" form-textbox" data-type="input-textbox" id="input_75" name="q75_input75" size="20" value="" /> </div></li><li class="form-line" id="id_56"><div class="form-label-top" id="label_56"><label for="input_56"> Camper 2: Please specify which days/times, if needed </label><label class="label-message" for="input_56"> </label></div><div id="cid_56" class="form-input-wide"> <input type="text" class=" form-textbox" data-type="input-textbox" id="input_56" name="q56_input56" size="40" value="" /> </div></li><li class="form-line" id="id_139"><div class="form-label-top" id="label_139"><label for="input_139"> Camper 2: My child receives support services through EI or CPSE:<span class="form-required">*</span> </label><label class="label-message" for="input_139"> </label></div><div id="cid_139" class="form-input-wide"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_139_0" name="q139_input139" value="Yes" /><label id="label_input_139_0" for="input_139_0"><span>Yes</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_139_1" name="q139_input139" value="No" /><label id="label_input_139_1" for="input_139_1"><span>No</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_140"><div class="form-label-top" id="label_140"><label for="input_140"> SUPPORT SERVICES Occupational Therapy </label><label class="label-message" for="input_140"> </label></div><div id="cid_140" class="form-input-wide"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_140_0" name="q140_input140" value="10 months" /><label id="label_input_140_0" for="input_140_0"><span>10 months</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_140_1" name="q140_input140" value="12 months" /><label id="label_input_140_1" for="input_140_1"><span>12 months</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_140_2" name="q140_input140" value="N/A" /><label id="label_input_140_2" for="input_140_2"><span>N/A</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_145"><div class="form-label-top" id="label_145"><label for="input_145"> Mandate (hours and times per week: </label><label class="label-message" for="input_145"> </label></div><div id="cid_145" class="form-input-wide"> <input type="text" class=" form-textbox" data-type="input-textbox" id="input_145" name="q145_input145" size="20" value="" /> </div></li><li class="form-line" id="id_144"><div class="form-label-top" id="label_144"><label for="input_144"> SUPPORT SERVICES Physical Therapy </label><label class="label-message" for="input_144"> </label></div><div id="cid_144" class="form-input-wide"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_144_0" name="q144_input144" value="10 months" /><label id="label_input_144_0" for="input_144_0"><span>10 months</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_144_1" name="q144_input144" value="12 months" /><label id="label_input_144_1" for="input_144_1"><span>12 months</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_144_2" name="q144_input144" value="N/A" /><label id="label_input_144_2" for="input_144_2"><span>N/A</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_146"><div class="form-label-top" id="label_146"><label for="input_146"> Mandate (hours and times per week: </label><label class="label-message" for="input_146"> </label></div><div id="cid_146" class="form-input-wide"> <input type="text" class=" form-textbox" data-type="input-textbox" id="input_146" name="q146_input146" size="20" value="" /> </div></li><li class="form-line" id="id_141"><div class="form-label-top" id="label_141"><label for="input_141"> SUPPORT SERVICES Speech Therapy </label><label class="label-message" for="input_141"> </label></div><div id="cid_141" class="form-input-wide"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_141_0" name="q141_input141" value="10 months" /><label id="label_input_141_0" for="input_141_0"><span>10 months</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_141_1" name="q141_input141" value="12 months" /><label id="label_input_141_1" for="input_141_1"><span>12 months</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_141_2" name="q141_input141" value="N/A" /><label id="label_input_141_2" for="input_141_2"><span>N/A</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_147"><div class="form-label-top" id="label_147"><label for="input_147"> Mandate (hours and times per week: </label><label class="label-message" for="input_147"> </label></div><div id="cid_147" class="form-input-wide"> <input type="text" class=" form-textbox" data-type="input-textbox" id="input_147" name="q147_input147" size="20" value="" /> </div></li><li class="form-line" id="id_142"><div class="form-label-top" id="label_142"><label for="input_142"> SUPPORT SERVICES Special Instruction/SEIS </label><label class="label-message" for="input_142"> </label></div><div id="cid_142" class="form-input-wide"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_142_0" name="q142_input142" value="10 months" /><label id="label_input_142_0" for="input_142_0"><span>10 months</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_142_1" name="q142_input142" value="12 months" /><label id="label_input_142_1" for="input_142_1"><span>12 months</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_142_2" name="q142_input142" value="N/A" /><label id="label_input_142_2" for="input_142_2"><span>N/A</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_148"><div class="form-label-top" id="label_148"><label for="input_148"> Mandate (hours and times per week: </label><label class="label-message" for="input_148"> </label></div><div id="cid_148" class="form-input-wide"> <input type="text" class=" form-textbox" data-type="input-textbox" id="input_148" name="q148_input148" size="20" value="" /> </div></li><li class="form-line" id="id_76"><div class="form-label-top" id="label_76"><label for="input_76"> Camper 2: Any special concerns / allergies / requests regarding camper? </label><label class="label-message" for="input_76"> </label></div><div id="cid_76" class="form-input-wide"> <textarea id="input_76" class="form-textarea" name="q76_input76" cols="40" rows="6"></textarea> </div></li><li class="form-line" id="id_233"><div class="form-label-top" id="label_233"><label for="input_233"> Camper 2: Camp T-shirt Size </label><label class="label-message" for="input_233"> </label></div><div id="cid_233" class="form-input-wide"> <select class="form-dropdown" style="width:150px" id="input_233" name="q233_input233"><option value=""></option><option value="2T">2T</option><option value="3T">3T</option><option value="4T">4T</option><option value="Child extra small">Child extra small</option><option value="Child small">Child small</option><option value="Child medium">Child medium</option></select> </div></li><li id="cid_13" class="form-input-wide"> <div class="form-header-group"><h2 id="header_13" class="form-header"></h2><div id="subHeader_13" class="form-subHeader">Camper 3</div></div> </li><li class="form-line" id="id_11"><div class="form-label-top" id="label_11"><label for="input_11"> Camper 3: Full Name<span class="form-required">*</span> </label><label class="label-message" for="input_11"> </label></div><div id="cid_11" class="form-input-wide"> <span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q11_fullName11[first]" id="first_11" autocomplete="given-name" />  <label class="form-sub-label" for="first_11" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q11_fullName11[last]" id="last_11" autocomplete="family-name" />  <label class="form-sub-label" for="last_11" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_15"><div class="form-label-top" id="label_15"><label for="input_15"> Camper 3: Hebrew Name </label><label class="label-message" for="input_15"> </label></div><div id="cid_15" class="form-input-wide"> <input type="text" class=" form-textbox" data-type="input-textbox" id="input_15" name="q15_input15" size="20" value="" /> </div></li><li class="form-line" id="id_16"><div class="form-label-top" id="label_16"><label for="input_16"> Camper 3: Nickname </label><label class="label-message" for="input_16"> </label></div><div id="cid_16" class="form-input-wide"> <input type="text" class=" form-textbox" data-type="input-textbox" id="input_16" name="q16_input16" size="20" value="" /> </div></li><li class="form-line" id="id_22"><div class="form-label-top" id="label_22"><label for="input_22"> Camper 3: Gender<span class="form-required">*</span> </label><label class="label-message" for="input_22"> </label></div><div id="cid_22" class="form-input-wide"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_22_0" name="q22_input22" value="Male" /><label id="label_input_22_0" for="input_22_0"><span>Male</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_22_1" name="q22_input22" value="Female" /><label id="label_input_22_1" for="input_22_1"><span>Female</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_23"><div class="form-label-top" id="label_23"><label for="input_23"> Camper 3: Birth Date<span class="form-required">*</span> </label><label class="label-message" for="input_23"> </label></div><div id="cid_23" class="form-input-wide"> <div class="dir_ltr"><span class="form-sub-label-container"><select autocomplete="nope" class="form-dropdown validate[required]" name="q23_birthDate23[month]" id="input_23_month"><option></option><option value="1">1 - January</option><option value="2">2 - February</option><option value="3">3 - March</option><option value="4">4 - April</option><option value="5">5 - May</option><option value="6">6 - June</option><option value="7">7 - July</option><option value="8">8 - August</option><option value="9">9 - September</option><option value="10">10 - October</option><option value="11">11 - November</option><option value="12">12 - December</option></select>  <label class="form-sub-label" for="input_23_month" id="sublabel_month">Month</label></span><span class="form-sub-label-container"><select autocomplete="nope" class="form-dropdown validate[required]" name="q23_birthDate23[day]" id="input_23_day"><option></option><option value="1">1</option><option value="2">2</option><option value="3">3</option><option value="4">4</option><option value="5">5</option><option value="6">6</option><option value="7">7</option><option value="8">8</option><option value="9">9</option><option value="10">10</option><option value="11">11</option><option value="12">12</option><option value="13">13</option><option value="14">14</option><option value="15">15</option><option value="16">16</option><option value="17">17</option><option value="18">18</option><option value="19">19</option><option value="20">20</option><option value="21">21</option><option value="22">22</option><option value="23">23</option><option value="24">24</option><option value="25">25</option><option value="26">26</option><option value="27">27</option><option value="28">28</option><option value="29">29</option><option value="30">30</option><option value="31">31</option></select>  <label class="form-sub-label" for="input_23_day" id="sublabel_day">Day</label></span><span class="form-sub-label-container"><select autocomplete="nope" class="form-dropdown validate[required]" name="q23_birthDate23[year]" id="input_23_year"><option></option><option value="2026">2026</option><option value="2025">2025</option><option value="2024">2024</option><option value="2023">2023</option><option value="2022">2022</option><option value="2021">2021</option><option value="2020">2020</option><option value="2019">2019</option><option value="2018">2018</option><option value="2017">2017</option><option value="2016">2016</option><option value="2015">2015</option><option value="2014">2014</option><option value="2013">2013</option><option value="2012">2012</option><option value="2011">2011</option><option value="2010">2010</option><option value="2009">2009</option><option value="2008">2008</option><option value="2007">2007</option><option value="2006">2006</option><option value="2005">2005</option><option value="2004">2004</option><option value="2003">2003</option><option value="2002">2002</option><option value="2001">2001</option><option value="2000">2000</option><option value="1999">1999</option><option value="1998">1998</option><option value="1997">1997</option><option value="1996">1996</option><option value="1995">1995</option><option value="1994">1994</option><option value="1993">1993</option><option value="1992">1992</option><option value="1991">1991</option><option value="1990">1990</option><option value="1989">1989</option><option value="1988">1988</option><option value="1987">1987</option><option value="1986">1986</option><option value="1985">1985</option><option value="1984">1984</option><option value="1983">1983</option><option value="1982">1982</option><option value="1981">1981</option><option value="1980">1980</option><option value="1979">1979</option><option value="1978">1978</option><option value="1977">1977</option><option value="1976">1976</option><option value="1975">1975</option><option value="1974">1974</option><option value="1973">1973</option><option value="1972">1972</option><option value="1971">1971</option><option value="1970">1970</option><option value="1969">1969</option><option value="1968">1968</option><option value="1967">1967</option><option value="1966">1966</option><option value="1965">1965</option><option value="1964">1964</option><option value="1963">1963</option><option value="1962">1962</option><option value="1961">1961</option><option value="1960">1960</option><option value="1959">1959</option><option value="1958">1958</option><option value="1957">1957</option><option value="1956">1956</option><option value="1955">1955</option><option value="1954">1954</option><option value="1953">1953</option><option value="1952">1952</option><option value="1951">1951</option><option value="1950">1950</option><option value="1949">1949</option><option value="1948">1948</option><option value="1947">1947</option><option value="1946">1946</option><option value="1945">1945</option><option value="1944">1944</option><option value="1943">1943</option><option value="1942">1942</option><option value="1941">1941</option><option value="1940">1940</option><option value="1939">1939</option><option value="1938">1938</option><option value="1937">1937</option><option value="1936">1936</option><option value="1935">1935</option><option value="1934">1934</option><option value="1933">1933</option><option value="1932">1932</option><option value="1931">1931</option><option value="1930">1930</option><option value="1929">1929</option><option value="1928">1928</option><option value="1927">1927</option><option value="1926">1926</option><option value="1925">1925</option><option value="1924">1924</option><option value="1923">1923</option><option value="1922">1922</option><option value="1921">1921</option><option value="1920">1920</option></select>  <label class="form-sub-label" for="input_23_year" id="sublabel_year">Year</label></span></div> </div></li><li class="form-line" id="id_24"><div class="form-label-top" id="label_24"><label for="input_24"> Camper 3: Grade Fall 2026 </label><label class="label-message" for="input_24"> </label></div><div id="cid_24" class="form-input-wide"> <select class="form-dropdown" style="width:150px" id="input_24" name="q24_input24"><option value=""></option><option value="Infant/Pre-Toddler">Infant/Pre-Toddler</option><option value="Toddler">Toddler</option><option value="Nursery">Nursery</option><option value="Pre-K">Pre-K</option><option value="Kindergarten">Kindergarten</option><option value="First Grade">First Grade</option><option value="Second Grade">Second Grade</option><option value="Third Grade">Third Grade</option></select> </div></li><li class="form-line" id="id_25"><div class="form-label-top" id="label_25"><label for="input_25"> Camper 3: New/Returning<span class="form-required">*</span> </label><label class="label-message" for="input_25"> </label></div><div id="cid_25" class="form-input-wide"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_25_0" name="q25_input25" value="New" /><label id="label_input_25_0" for="input_25_0"><span>New</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_25_1" name="q25_input25" value="Returning" /><label id="label_input_25_1" for="input_25_1"><span>Returning</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line always-hidden" id="id_127"><div class="form-label-top" id="label_127"><label for="input_127"> Camper 3: Is your child toilet trained? </label><label class="label-message" for="input_127"> </label></div><div id="cid_127" class="form-input-wide"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_127_0" name="q127_input127" value="Yes" /><label id="label_input_127_0" for="input_127_0"><span>Yes</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_127_1" name="q127_input127" value="No" /><label id="label_input_127_1" for="input_127_1"><span>No</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_92"><div class="form-label-top" id="label_92"><label for="input_92"> Age Group:<span class="form-required">*</span> </label><label class="label-message" for="input_92"> Campers must be toilet trained to register for Jr or Sr Gan.</label></div><div id="cid_92" class="form-input-wide"> <select class="form-dropdown validate[required]" style="width:150px" id="input_92" name="q92_input92"><option value=""></option><option value="Tiny Gan Division (9 m - 18 mo)">Tiny Gan Division (9 m - 18 mo)</option><option value="Mini Gan Division (ages 18 mo-3 yr old, ent. T-N)">Mini Gan Division (ages 18 mo-3 yr old, ent. T-N)</option><option value="Junior Gan Division (4 yr old, ent. PreK)">Junior Gan Division (4 yr old, ent. PreK)</option><option value="Senior Gan Division (5-8 yr old, ent. K-3rd grd)">Senior Gan Division (5-8 yr old, ent. K-3rd grd)</option></select> </div></li><li class="form-line" id="id_117"><div class="form-label-top" id="label_117"><label for="input_117"> Senior Gan Sessions<span class="form-required">*</span> </label><label class="label-message" for="input_117"> </label></div><div id="cid_117" class="form-input-wide"> <select class="form-dropdown validate[required]" style="width:150px" id="input_117" name="q117_input117"><option value="">Select Weeks</option><option value="Full Summer, 5 Day Program">Full Summer, 5 Day Program</option><option value="Full Summer, 3 Day Program">Full Summer, 3 Day Program</option><option value="Single Week, 5 Day Program">Single Week, 5 Day Program</option><option value="Single Week, 3 Day Program">Single Week, 3 Day Program</option></select> </div></li><li class="form-line" id="id_115"><div class="form-label-top" id="label_115"><label for="input_115"> Mini Gan Sessions<span class="form-required">*</span> </label><label class="label-message" for="input_115"> </label></div><div id="cid_115" class="form-input-wide"> <select class="form-dropdown validate[required]" style="width:150px" id="input_115" name="q115_input115"><option value="">Select Weeks</option><option value="Full Summer, 5 Day Program">Full Summer, 5 Day Program</option><option value="Full Summer, 3 Day Program">Full Summer, 3 Day Program</option><option value="Full Summer, 5 Half Day Program">Full Summer, 5 Half Day Program</option><option value="Full Summer, 3 Half Day Program">Full Summer, 3 Half Day Program</option><option value="Single Week (s), 5 Day Program">Single Week (s), 5 Day Program</option><option value="Single Week (s), 5 Half Day Program">Single Week (s), 5 Half Day Program</option><option value="Single Week (s), 3 Day Program">Single Week (s), 3 Day Program</option><option value="Single Week (s), 3 Half Day Program">Single Week (s), 3 Half Day Program</option></select> </div></li><li class="form-line" id="id_228"><div class="form-label-top" id="label_228"><label for="input_228"> Tiny Gan Sessions<span class="form-required">*</span> </label><label class="label-message" for="input_228"> </label></div><div id="cid_228" class="form-input-wide"> <select class="form-dropdown validate[required]" style="width:150px" id="input_228" name="q228_input228"><option value="">Select Weeks</option><option value="Full Summer, 5 Day Program">Full Summer, 5 Day Program</option><option value="Full Summer, 3 Day Program">Full Summer, 3 Day Program</option><option value="Full Summer, 5 Half Day Program">Full Summer, 5 Half Day Program</option><option value="Full Summer, 3 Half Day Program">Full Summer, 3 Half Day Program</option><option value="Single Week (s), 5 Day Program">Single Week (s), 5 Day Program</option><option value="Single Week (s), 5 Half Day Program">Single Week (s), 5 Half Day Program</option><option value="Single Week (s), 3 Day Program">Single Week (s), 3 Day Program</option><option value="Single Week (s), 3 Half Day Program">Single Week (s), 3 Half Day Program</option></select> </div></li><li class="form-line" id="id_116"><div class="form-label-top" id="label_116"><label for="input_116"> Jr Gan Sessions<span class="form-required">*</span> </label><label class="label-message" for="input_116"> </label></div><div id="cid_116" class="form-input-wide"> <select class="form-dropdown validate[required]" style="width:150px" id="input_116" name="q116_input116"><option value="">Select Weeks</option><option value="Full Summer, 5 Day Program">Full Summer, 5 Day Program</option><option value="Full Summer, 3 Day Program">Full Summer, 3 Day Program</option><option value="Single Week (s), 5 Day Program">Single Week (s), 5 Day Program</option><option value="Single Week (s), 3 Day Program">Single Week (s), 3 Day Program</option></select> </div></li><li class="form-line" id="id_123"><div class="form-label-top" id="label_123"><label for="input_123"> Tiny &amp; Mini Gan, 3 Half Day Program: </label><label class="label-message" for="input_123"> </label></div><div id="cid_123" class="form-input-wide"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_123_0" name="q123_input123[]" value="Week 1: June 29—July 3" /><label id="label_input_123_0" for="input_123_0"><span>Week 1: June 29—July 3</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_123_1" name="q123_input123[]" value="Week 2: July 6—10" /><label id="label_input_123_1" for="input_123_1"><span>Week 2: July 6—10</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_123_2" name="q123_input123[]" value="Week 3: July 13—17" /><label id="label_input_123_2" for="input_123_2"><span>Week 3: July 13—17</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_123_3" name="q123_input123[]" value="Week 4: July 20—24" /><label id="label_input_123_3" for="input_123_3"><span>Week 4: July 20—24</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_123_4" name="q123_input123[]" value="Week 5: July 27—Jul 31" /><label id="label_input_123_4" for="input_123_4"><span>Week 5: July 27—Jul 31</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_123_5" name="q123_input123[]" value="Week 6: Aug 3—Aug 7" /><label id="label_input_123_5" for="input_123_5"><span>Week 6: Aug 3—Aug 7</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_123_6" name="q123_input123[]" value="Week 7: Aug 10—14" /><label id="label_input_123_6" for="input_123_6"><span>Week 7: Aug 10—14</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_121"><div class="form-label-top" id="label_121"><label for="input_121"> Tiny, Mini &amp; Jr Gan, 3 Day Program: </label><label class="label-message" for="input_121"> </label></div><div id="cid_121" class="form-input-wide"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_121_0" name="q121_input121[]" value="Week 1: June 29—July 3" /><label id="label_input_121_0" for="input_121_0"><span>Week 1: June 29—July 3</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_121_1" name="q121_input121[]" value="Week 2: July 6—10" /><label id="label_input_121_1" for="input_121_1"><span>Week 2: July 6—10</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_121_2" name="q121_input121[]" value="Week 3: July 13—17" /><label id="label_input_121_2" for="input_121_2"><span>Week 3: July 13—17</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_121_3" name="q121_input121[]" value="Week 4: July 20—24" /><label id="label_input_121_3" for="input_121_3"><span>Week 4: July 20—24</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_121_4" name="q121_input121[]" value="Week 5: July 27—Jul 31" /><label id="label_input_121_4" for="input_121_4"><span>Week 5: July 27—Jul 31</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_121_5" name="q121_input121[]" value="Week 6: Aug 3—Aug 7" /><label id="label_input_121_5" for="input_121_5"><span>Week 6: Aug 3—Aug 7</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_121_6" name="q121_input121[]" value="Week 7: Aug 10—14" /><label id="label_input_121_6" for="input_121_6"><span>Week 7: Aug 10—14</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_122"><div class="form-label-top" id="label_122"><label for="input_122"> Tiny &amp; Mini Gan, 5 Half  Day Program: </label><label class="label-message" for="input_122"> </label></div><div id="cid_122" class="form-input-wide"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_122_0" name="q122_input122[]" value="Week 1: June 29—July 3" /><label id="label_input_122_0" for="input_122_0"><span>Week 1: June 29—July 3</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_122_1" name="q122_input122[]" value="Week 2: July 6—10" /><label id="label_input_122_1" for="input_122_1"><span>Week 2: July 6—10</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_122_2" name="q122_input122[]" value="Week 3: July 13—17" /><label id="label_input_122_2" for="input_122_2"><span>Week 3: July 13—17</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_122_3" name="q122_input122[]" value="Week 4: July 20—24" /><label id="label_input_122_3" for="input_122_3"><span>Week 4: July 20—24</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_122_4" name="q122_input122[]" value="Week 5: July 27—Jul 31" /><label id="label_input_122_4" for="input_122_4"><span>Week 5: July 27—Jul 31</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_122_5" name="q122_input122[]" value="Week 6: Aug 3—Aug 7" /><label id="label_input_122_5" for="input_122_5"><span>Week 6: Aug 3—Aug 7</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_122_6" name="q122_input122[]" value="Week 7: Aug 10—14" /><label id="label_input_122_6" for="input_122_6"><span>Week 7: Aug 10—14</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_120"><div class="form-label-top" id="label_120"><label for="input_120"> Tiny, Mini &amp; Jr Gan, 5 Day Program: </label><label class="label-message" for="input_120"> </label></div><div id="cid_120" class="form-input-wide"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_120_0" name="q120_input120[]" value="Week 1: June 29—July 3" /><label id="label_input_120_0" for="input_120_0"><span>Week 1: June 29—July 3</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_120_1" name="q120_input120[]" value="Week 2: July 6—10" /><label id="label_input_120_1" for="input_120_1"><span>Week 2: July 6—10</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_120_2" name="q120_input120[]" value="Week 3: July 13—17" /><label id="label_input_120_2" for="input_120_2"><span>Week 3: July 13—17</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_120_3" name="q120_input120[]" value="Week 4: July 20—24" /><label id="label_input_120_3" for="input_120_3"><span>Week 4: July 20—24</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_120_4" name="q120_input120[]" value="Week 5: July 27—Jul 31" /><label id="label_input_120_4" for="input_120_4"><span>Week 5: July 27—Jul 31</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_120_5" name="q120_input120[]" value="Week 6: Aug 3—Aug 7" /><label id="label_input_120_5" for="input_120_5"><span>Week 6: Aug 3—Aug 7</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_120_6" name="q120_input120[]" value="Week 7: Aug 10—14" /><label id="label_input_120_6" for="input_120_6"><span>Week 7: Aug 10—14</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_118"><div class="form-label-top" id="label_118"><label for="input_118"> Senior Gan, 3 Day Program: </label><label class="label-message" for="input_118"> </label></div><div id="cid_118" class="form-input-wide"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_118_0" name="q118_input118[]" value="Week 1: June 29—July 3" /><label id="label_input_118_0" for="input_118_0"><span>Week 1: June 29—July 3</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_118_1" name="q118_input118[]" value="Week 2: July 6—10" /><label id="label_input_118_1" for="input_118_1"><span>Week 2: July 6—10</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_118_2" name="q118_input118[]" value="Week 3: July 13—17" /><label id="label_input_118_2" for="input_118_2"><span>Week 3: July 13—17</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_118_3" name="q118_input118[]" value="Week 4: July 20—24" /><label id="label_input_118_3" for="input_118_3"><span>Week 4: July 20—24</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_118_4" name="q118_input118[]" value="Week 5: July 27—Jul 31" /><label id="label_input_118_4" for="input_118_4"><span>Week 5: July 27—Jul 31</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_118_5" name="q118_input118[]" value="Week 6: Aug 3—Aug 7" /><label id="label_input_118_5" for="input_118_5"><span>Week 6: Aug 3—Aug 7</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_118_6" name="q118_input118[]" value="Week 7: Aug 10—14" /><label id="label_input_118_6" for="input_118_6"><span>Week 7: Aug 10—14</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_119"><div class="form-label-top" id="label_119"><label for="input_119"> Senior Gan, 5 Day Program: </label><label class="label-message" for="input_119"> </label></div><div id="cid_119" class="form-input-wide"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_119_0" name="q119_input119[]" value="Week 1: June 29—July 3" /><label id="label_input_119_0" for="input_119_0"><span>Week 1: June 29—July 3</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_119_1" name="q119_input119[]" value="Week 2: July 6—10" /><label id="label_input_119_1" for="input_119_1"><span>Week 2: July 6—10</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_119_2" name="q119_input119[]" value="Week 3: July 13—17" /><label id="label_input_119_2" for="input_119_2"><span>Week 3: July 13—17</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_119_3" name="q119_input119[]" value="Week 4: July 21-25" /><label id="label_input_119_3" for="input_119_3"><span>Week 4: July 21-25</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_119_4" name="q119_input119[]" value="Week 5: July 27—Jul 31" /><label id="label_input_119_4" for="input_119_4"><span>Week 5: July 27—Jul 31</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_119_5" name="q119_input119[]" value="Week 6: Aug 3—Aug 7" /><label id="label_input_119_5" for="input_119_5"><span>Week 6: Aug 3—Aug 7</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_119_6" name="q119_input119[]" value="Week 7: Aug 10—14" /><label id="label_input_119_6" for="input_119_6"><span>Week 7: Aug 10—14</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_58"><div class="form-label-top" id="label_58"><label for="input_58"> Camper 3: If attending 3 days/week, please specify which days </label><label class="label-message" for="input_58"> </label></div><div id="cid_58" class="form-input-wide"> <input type="text" class=" form-textbox" data-type="input-textbox" id="input_58" name="q58_input58" size="40" value="" /> </div></li><li class="form-line" id="id_59"><div class="form-label-top" id="label_59"><label for="input_59"> Camper 3: Number of weeks requiring before/aftercare: </label><label class="label-message" for="input_59"> </label></div><div id="cid_59" class="form-input-wide"> <input type="number" class="form-number-input  form-textbox" id="input_59" name="q59_number59" style="width:68px" size="6" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" /> </div></li><li class="form-line" id="id_179"><div class="form-label-top" id="label_179"><label for="input_179"> Number of hours of before/aftercare for Week 1:  </label><label class="label-message" for="input_179"> </label></div><div id="cid_179" class="form-input-wide"> <span class="form-sub-label-container"><input type="number" class="form-number-input  form-textbox" id="input_179" name="q179_number179" style="width:68px" size="6" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" />  <label class="form-sub-label" for="input_179">$55/hr/week</label></span> </div></li><li class="form-line" id="id_180"><div class="form-label-top" id="label_180"><label for="input_180"> Number of hours of before/aftercare for Week 2: </label><label class="label-message" for="input_180"> </label></div><div id="cid_180" class="form-input-wide"> <span class="form-sub-label-container"><input type="number" class="form-number-input  form-textbox" id="input_180" name="q180_number180" style="width:68px" size="6" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" />  <label class="form-sub-label" for="input_180">$55/hr/week</label></span> </div></li><li class="form-line" id="id_181"><div class="form-label-top" id="label_181"><label for="input_181"> Number of hours of before/aftercare for Week 3: </label><label class="label-message" for="input_181"> </label></div><div id="cid_181" class="form-input-wide"> <span class="form-sub-label-container"><input type="number" class="form-number-input  form-textbox" id="input_181" name="q181_number181" style="width:68px" size="6" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" />  <label class="form-sub-label" for="input_181">$55/hr/week</label></span> </div></li><li class="form-line" id="id_182"><div class="form-label-top" id="label_182"><label for="input_182"> Number of hours of before/aftercare for Week 4: </label><label class="label-message" for="input_182"> </label></div><div id="cid_182" class="form-input-wide"> <span class="form-sub-label-container"><input type="number" class="form-number-input  form-textbox" id="input_182" name="q182_number182" style="width:68px" size="6" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" />  <label class="form-sub-label" for="input_182">$55/hr/week</label></span> </div></li><li class="form-line" id="id_183"><div class="form-label-top" id="label_183"><label for="input_183"> Number of hours of before/aftercare for Week 5: </label><label class="label-message" for="input_183"> </label></div><div id="cid_183" class="form-input-wide"> <span class="form-sub-label-container"><input type="number" class="form-number-input  form-textbox" id="input_183" name="q183_number183" style="width:68px" size="6" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" />  <label class="form-sub-label" for="input_183">$55/hr/week</label></span> </div></li><li class="form-line" id="id_184"><div class="form-label-top" id="label_184"><label for="input_184"> Number of hours of before/aftercare for Week 6: </label><label class="label-message" for="input_184"> </label></div><div id="cid_184" class="form-input-wide"> <span class="form-sub-label-container"><input type="number" class="form-number-input  form-textbox" id="input_184" name="q184_number184" style="width:68px" size="6" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" />  <label class="form-sub-label" for="input_184">$55/hr/week</label></span> </div></li><li class="form-line" id="id_185"><div class="form-label-top" id="label_185"><label for="input_185"> Number of hours of before/aftercare for Week 7: </label><label class="label-message" for="input_185"> </label></div><div id="cid_185" class="form-input-wide"> <span class="form-sub-label-container"><input type="number" class="form-number-input  form-textbox" id="input_185" name="q185_number185" style="width:68px" size="6" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" />  <label class="form-sub-label" for="input_185">$55/hr/week</label></span> </div></li><li class="form-line" id="id_79"><div class="form-label-top" id="label_79"><label for="input_79"> Camper 3: Please Specify </label><label class="label-message" for="input_79"> </label></div><div id="cid_79" class="form-input-wide"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_79_0" name="q79_input79[]" value="Before Care (avail. from 8-9 am)" /><label id="label_input_79_0" for="input_79_0"><span>Before Care (avail. from 8-9 am)</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_79_1" name="q79_input79[]" value="After Care (avail. from 3-5:30 pm)" /><label id="label_input_79_1" for="input_79_1"><span>After Care (avail. from 3-5:30 pm)</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_60"><div class="form-label-top" id="label_60"><label for="input_60"> Camper 3: please specify which days/times, if needed </label><label class="label-message" for="input_60"> </label></div><div id="cid_60" class="form-input-wide"> <input type="text" class=" form-textbox" data-type="input-textbox" id="input_60" name="q60_input60" size="40" value="" /> </div></li><li class="form-line" id="id_149"><div class="form-label-top" id="label_149"><label for="input_149"> Camper 3: My child receives support services through EI or CPSE:<span class="form-required">*</span> </label><label class="label-message" for="input_149"> </label></div><div id="cid_149" class="form-input-wide"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_149_0" name="q149_input149" value="Yes" /><label id="label_input_149_0" for="input_149_0"><span>Yes</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_149_1" name="q149_input149" value="No" /><label id="label_input_149_1" for="input_149_1"><span>No</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_150"><div class="form-label-top" id="label_150"><label for="input_150"> SUPPORT SERVICES Occupational Therapy </label><label class="label-message" for="input_150"> </label></div><div id="cid_150" class="form-input-wide"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_150_0" name="q150_input150" value="10 months" /><label id="label_input_150_0" for="input_150_0"><span>10 months</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_150_1" name="q150_input150" value="12 months" /><label id="label_input_150_1" for="input_150_1"><span>12 months</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_150_2" name="q150_input150" value="N/A" /><label id="label_input_150_2" for="input_150_2"><span>N/A</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_156"><div class="form-label-top" id="label_156"><label for="input_156"> Mandate (hours and times per week: </label><label class="label-message" for="input_156"> </label></div><div id="cid_156" class="form-input-wide"> <input type="text" class=" form-textbox" data-type="input-textbox" id="input_156" name="q156_input156" size="20" value="" /> </div></li><li class="form-line" id="id_151"><div class="form-label-top" id="label_151"><label for="input_151"> SUPPORT SERVICES Physical Therapy </label><label class="label-message" for="input_151"> </label></div><div id="cid_151" class="form-input-wide"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_151_0" name="q151_input151" value="10 months" /><label id="label_input_151_0" for="input_151_0"><span>10 months</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_151_1" name="q151_input151" value="12 months" /><label id="label_input_151_1" for="input_151_1"><span>12 months</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_151_2" name="q151_input151" value="N/A" /><label id="label_input_151_2" for="input_151_2"><span>N/A</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_154"><div class="form-label-top" id="label_154"><label for="input_154"> Mandate (hours and times per week: </label><label class="label-message" for="input_154"> </label></div><div id="cid_154" class="form-input-wide"> <input type="text" class=" form-textbox" data-type="input-textbox" id="input_154" name="q154_input154" size="20" value="" /> </div></li><li class="form-line" id="id_152"><div class="form-label-top" id="label_152"><label for="input_152"> SUPPORT SERVICES Speech Therapy </label><label class="label-message" for="input_152"> </label></div><div id="cid_152" class="form-input-wide"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_152_0" name="q152_input152" value="10 months" /><label id="label_input_152_0" for="input_152_0"><span>10 months</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_152_1" name="q152_input152" value="12 months" /><label id="label_input_152_1" for="input_152_1"><span>12 months</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_152_2" name="q152_input152" value="N/A" /><label id="label_input_152_2" for="input_152_2"><span>N/A</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_155"><div class="form-label-top" id="label_155"><label for="input_155"> Mandate (hours and times per week: </label><label class="label-message" for="input_155"> </label></div><div id="cid_155" class="form-input-wide"> <input type="text" class=" form-textbox" data-type="input-textbox" id="input_155" name="q155_input155" size="20" value="" /> </div></li><li class="form-line" id="id_153"><div class="form-label-top" id="label_153"><label for="input_153"> SUPPORT SERVICES Special Instruction/SEIS </label><label class="label-message" for="input_153"> </label></div><div id="cid_153" class="form-input-wide"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_153_0" name="q153_input153" value="10 months" /><label id="label_input_153_0" for="input_153_0"><span>10 months</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_153_1" name="q153_input153" value="12 months" /><label id="label_input_153_1" for="input_153_1"><span>12 months</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_153_2" name="q153_input153" value="N/A" /><label id="label_input_153_2" for="input_153_2"><span>N/A</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_157"><div class="form-label-top" id="label_157"><label for="input_157"> Mandate (hours and times per week: </label><label class="label-message" for="input_157"> </label></div><div id="cid_157" class="form-input-wide"> <input type="text" class=" form-textbox" data-type="input-textbox" id="input_157" name="q157_input157" size="20" value="" /> </div></li><li class="form-line" id="id_80"><div class="form-label-top" id="label_80"><label for="input_80"> Camper 3: Any special concerns / allergies / requests regarding camper? </label><label class="label-message" for="input_80"> </label></div><div id="cid_80" class="form-input-wide"> <textarea id="input_80" class="form-textarea" name="q80_input80" cols="40" rows="6"></textarea> </div></li><li class="form-line" id="id_232"><div class="form-label-top" id="label_232"><label for="input_232"> Camper 3: Camp T-shirt Size </label><label class="label-message" for="input_232"> </label></div><div id="cid_232" class="form-input-wide"> <select class="form-dropdown" style="width:150px" id="input_232" name="q232_input232"><option value=""></option><option value="2T">2T</option><option value="3T">3T</option><option value="4T">4T</option><option value="Child extra small">Child extra small</option><option value="Child small">Child small</option><option value="Child medium">Child medium</option></select> </div></li><li id="cid_186" class="form-input-wide"> <div class="form-header-group"><h2 id="header_186" class="form-header"></h2><div id="subHeader_186" class="form-subHeader">Camper 4</div></div> </li><li class="form-line" id="id_187"><div class="form-label-top" id="label_187"><label for="input_187"> Camper 4 Full Name<span class="form-required">*</span> </label><label class="label-message" for="input_187"> </label></div><div id="cid_187" class="form-input-wide"> <span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q187_fullName187[first]" id="first_187" autocomplete="given-name" />  <label class="form-sub-label" for="first_187" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q187_fullName187[last]" id="last_187" autocomplete="family-name" />  <label class="form-sub-label" for="last_187" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_188"><div class="form-label-top" id="label_188"><label for="input_188"> Camper 4: Hebrew Name </label><label class="label-message" for="input_188"> </label></div><div id="cid_188" class="form-input-wide"> <input type="text" class=" form-textbox" data-type="input-textbox" id="input_188" name="q188_input188" size="20" value="" /> </div></li><li class="form-line" id="id_189"><div class="form-label-top" id="label_189"><label for="input_189"> Camper 4: Nickname </label><label class="label-message" for="input_189"> </label></div><div id="cid_189" class="form-input-wide"> <input type="text" class=" form-textbox" data-type="input-textbox" id="input_189" name="q189_input189" size="20" value="" /> </div></li><li class="form-line" id="id_190"><div class="form-label-top" id="label_190"><label for="input_190"> Camper 4: Gender<span class="form-required">*</span> </label><label class="label-message" for="input_190"> </label></div><div id="cid_190" class="form-input-wide"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_190_0" name="q190_input190" value="Male" /><label id="label_input_190_0" for="input_190_0"><span>Male</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_190_1" name="q190_input190" value="Female" /><label id="label_input_190_1" for="input_190_1"><span>Female</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_191"><div class="form-label-top" id="label_191"><label for="input_191"> Camper 4: Birth Date<span class="form-required">*</span> </label><label class="label-message" for="input_191"> </label></div><div id="cid_191" class="form-input-wide"> <div class="dir_ltr"><span class="form-sub-label-container"><select autocomplete="nope" class="form-dropdown validate[required]" name="q191_birthDate191[month]" id="input_191_month"><option></option><option value="1">1 - January</option><option value="2">2 - February</option><option value="3">3 - March</option><option value="4">4 - April</option><option value="5">5 - May</option><option value="6">6 - June</option><option value="7">7 - July</option><option value="8">8 - August</option><option value="9">9 - September</option><option value="10">10 - October</option><option value="11">11 - November</option><option value="12">12 - December</option></select>  <label class="form-sub-label" for="input_191_month" id="sublabel_month">Month</label></span><span class="form-sub-label-container"><select autocomplete="nope" class="form-dropdown validate[required]" name="q191_birthDate191[day]" id="input_191_day"><option></option><option value="1">1</option><option value="2">2</option><option value="3">3</option><option value="4">4</option><option value="5">5</option><option value="6">6</option><option value="7">7</option><option value="8">8</option><option value="9">9</option><option value="10">10</option><option value="11">11</option><option value="12">12</option><option value="13">13</option><option value="14">14</option><option value="15">15</option><option value="16">16</option><option value="17">17</option><option value="18">18</option><option value="19">19</option><option value="20">20</option><option value="21">21</option><option value="22">22</option><option value="23">23</option><option value="24">24</option><option value="25">25</option><option value="26">26</option><option value="27">27</option><option value="28">28</option><option value="29">29</option><option value="30">30</option><option value="31">31</option></select>  <label class="form-sub-label" for="input_191_day" id="sublabel_day">Day</label></span><span class="form-sub-label-container"><select autocomplete="nope" class="form-dropdown validate[required]" name="q191_birthDate191[year]" id="input_191_year"><option></option><option value="2026">2026</option><option value="2025">2025</option><option value="2024">2024</option><option value="2023">2023</option><option value="2022">2022</option><option value="2021">2021</option><option value="2020">2020</option><option value="2019">2019</option><option value="2018">2018</option><option value="2017">2017</option><option value="2016">2016</option><option value="2015">2015</option><option value="2014">2014</option><option value="2013">2013</option><option value="2012">2012</option><option value="2011">2011</option><option value="2010">2010</option><option value="2009">2009</option><option value="2008">2008</option><option value="2007">2007</option><option value="2006">2006</option><option value="2005">2005</option><option value="2004">2004</option><option value="2003">2003</option><option value="2002">2002</option><option value="2001">2001</option><option value="2000">2000</option><option value="1999">1999</option><option value="1998">1998</option><option value="1997">1997</option><option value="1996">1996</option><option value="1995">1995</option><option value="1994">1994</option><option value="1993">1993</option><option value="1992">1992</option><option value="1991">1991</option><option value="1990">1990</option><option value="1989">1989</option><option value="1988">1988</option><option value="1987">1987</option><option value="1986">1986</option><option value="1985">1985</option><option value="1984">1984</option><option value="1983">1983</option><option value="1982">1982</option><option value="1981">1981</option><option value="1980">1980</option><option value="1979">1979</option><option value="1978">1978</option><option value="1977">1977</option><option value="1976">1976</option><option value="1975">1975</option><option value="1974">1974</option><option value="1973">1973</option><option value="1972">1972</option><option value="1971">1971</option><option value="1970">1970</option><option value="1969">1969</option><option value="1968">1968</option><option value="1967">1967</option><option value="1966">1966</option><option value="1965">1965</option><option value="1964">1964</option><option value="1963">1963</option><option value="1962">1962</option><option value="1961">1961</option><option value="1960">1960</option><option value="1959">1959</option><option value="1958">1958</option><option value="1957">1957</option><option value="1956">1956</option><option value="1955">1955</option><option value="1954">1954</option><option value="1953">1953</option><option value="1952">1952</option><option value="1951">1951</option><option value="1950">1950</option><option value="1949">1949</option><option value="1948">1948</option><option value="1947">1947</option><option value="1946">1946</option><option value="1945">1945</option><option value="1944">1944</option><option value="1943">1943</option><option value="1942">1942</option><option value="1941">1941</option><option value="1940">1940</option><option value="1939">1939</option><option value="1938">1938</option><option value="1937">1937</option><option value="1936">1936</option><option value="1935">1935</option><option value="1934">1934</option><option value="1933">1933</option><option value="1932">1932</option><option value="1931">1931</option><option value="1930">1930</option><option value="1929">1929</option><option value="1928">1928</option><option value="1927">1927</option><option value="1926">1926</option><option value="1925">1925</option><option value="1924">1924</option><option value="1923">1923</option><option value="1922">1922</option><option value="1921">1921</option><option value="1920">1920</option></select>  <label class="form-sub-label" for="input_191_year" id="sublabel_year">Year</label></span></div> </div></li><li class="form-line" id="id_192"><div class="form-label-top" id="label_192"><label for="input_192"> Camper 4: Grade Fall 2026:<span class="form-required">*</span> </label><label class="label-message" for="input_192"> </label></div><div id="cid_192" class="form-input-wide"> <select class="form-dropdown validate[required]" style="width:150px" id="input_192" name="q192_input192"><option value=""></option><option value="Infant/Pre-Toddler">Infant/Pre-Toddler</option><option value="Toddler">Toddler</option><option value="Nursery">Nursery</option><option value="Pre-K">Pre-K</option><option value="Kindergarten">Kindergarten</option><option value="First Grade">First Grade</option><option value="Second Grade">Second Grade</option><option value="Third Grade">Third Grade</option></select> </div></li><li class="form-line always-hidden" id="id_198"><div class="form-label-top" id="label_198"><label for="input_198"> Camper 4: Is your child toilet trained? </label><label class="label-message" for="input_198"> </label></div><div id="cid_198" class="form-input-wide"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_198_0" name="q198_input198" value="Yes" /><label id="label_input_198_0" for="input_198_0"><span>Yes</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_198_1" name="q198_input198" value="No" /><label id="label_input_198_1" for="input_198_1"><span>No</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_193"><div class="form-label-top" id="label_193"><label for="input_193"> Camper 4: New/Returning<span class="form-required">*</span> </label><label class="label-message" for="input_193"> </label></div><div id="cid_193" class="form-input-wide"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_193_0" name="q193_input193" value="New Camper" /><label id="label_input_193_0" for="input_193_0"><span>New Camper</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_193_1" name="q193_input193" value="Returning Camper" /><label id="label_input_193_1" for="input_193_1"><span>Returning Camper</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_194"><div class="form-label-top" id="label_194"><label for="input_194"> Camper 4: Age Group<span class="form-required">*</span> </label><label class="label-message" for="input_194"> Campers must be toilet trained to register for Jr or Sr Gan.</label></div><div id="cid_194" class="form-input-wide"> <select class="form-dropdown validate[required]" style="width:150px" id="input_194" name="q194_input194"><option value=""></option><option value="Tiny Gan Division (9 m - 18 mo)">Tiny Gan Division (9 m - 18 mo)</option><option value="Mini Gan Division (ages 18 mo-3 yr old, ent. T-N)">Mini Gan Division (ages 18 mo-3 yr old, ent. T-N)</option><option value="Junior Gan Division (4 yr old, ent. PreK)">Junior Gan Division (4 yr old, ent. PreK)</option><option value="Senior Gan Division (5-8 yr old, ent. K-3rd grd)">Senior Gan Division (5-8 yr old, ent. K-3rd grd)</option></select> </div></li><li class="form-line" id="id_197"><div class="form-label-top" id="label_197"><label for="input_197"> Camper 4: Senior Gan Sessions<span class="form-required">*</span> </label><label class="label-message" for="input_197"> </label></div><div id="cid_197" class="form-input-wide"> <select class="form-dropdown validate[required]" style="width:150px" id="input_197" name="q197_input197"><option value="">Select Weeks</option><option value="Full Summer, 5 Day Program">Full Summer, 5 Day Program</option><option value="Full Summer, 3 Day Program">Full Summer, 3 Day Program</option><option value="Single Week, 5 Day Program">Single Week, 5 Day Program</option><option value="Single Week, 3 Day Program">Single Week, 3 Day Program</option></select> </div></li><li class="form-line" id="id_195"><div class="form-label-top" id="label_195"><label for="input_195"> Camper 4: Mini Gan Sessions<span class="form-required">*</span> </label><label class="label-message" for="input_195"> </label></div><div id="cid_195" class="form-input-wide"> <select class="form-dropdown validate[required]" style="width:150px" id="input_195" name="q195_input195"><option value="">Select Weeks</option><option value="Full Summer, 5 Day Program">Full Summer, 5 Day Program</option><option value="Full Summer, 3 Day Program">Full Summer, 3 Day Program</option><option value="Full Summer, 5 Half Day Program">Full Summer, 5 Half Day Program</option><option value="Full Summer, 3 Half Day Program">Full Summer, 3 Half Day Program</option><option value="Single Week (s), 5 Day Program">Single Week (s), 5 Day Program</option><option value="Single Week (s), 5 Half Day Program">Single Week (s), 5 Half Day Program</option><option value="Single Week (s), 3 Day Program">Single Week (s), 3 Day Program</option><option value="Single Week (s), 3 Half Day Program">Single Week (s), 3 Half Day Program</option></select> </div></li><li class="form-line" id="id_229"><div class="form-label-top" id="label_229"><label for="input_229"> Camper 4: Tiny Gan Sessions<span class="form-required">*</span> </label><label class="label-message" for="input_229"> </label></div><div id="cid_229" class="form-input-wide"> <select class="form-dropdown validate[required]" style="width:150px" id="input_229" name="q229_input229"><option value="">Select Weeks</option><option value="Full Summer, 5 Day Program">Full Summer, 5 Day Program</option><option value="Full Summer, 3 Day Program">Full Summer, 3 Day Program</option><option value="Full Summer, 5 Half Day Program">Full Summer, 5 Half Day Program</option><option value="Full Summer, 3 Half Day Program">Full Summer, 3 Half Day Program</option><option value="Single Week (s), 5 Day Program">Single Week (s), 5 Day Program</option><option value="Single Week (s), 5 Half Day Program">Single Week (s), 5 Half Day Program</option><option value="Single Week (s), 3 Day Program">Single Week (s), 3 Day Program</option><option value="Single Week (s), 3 Half Day Program">Single Week (s), 3 Half Day Program</option></select> </div></li><li class="form-line" id="id_196"><div class="form-label-top" id="label_196"><label for="input_196"> Camper 4: Jr Gan Sessions<span class="form-required">*</span> </label><label class="label-message" for="input_196"> </label></div><div id="cid_196" class="form-input-wide"> <select class="form-dropdown validate[required]" style="width:150px" id="input_196" name="q196_input196"><option value="">Select Weeks</option><option value="Full Summer, 5 Day Program">Full Summer, 5 Day Program</option><option value="Full Summer, 3 Day Program">Full Summer, 3 Day Program</option><option value="Single Week (s), 5 Day Program">Single Week (s), 5 Day Program</option><option value="Single Week (s), 3 Day Program">Single Week (s), 3 Day Program</option></select> </div></li><li class="form-line" id="id_199"><div class="form-label-top" id="label_199"><label for="input_199"> Camper 4: Tiny &amp; Mini Gan, 3 Half Day Program: </label><label class="label-message" for="input_199"> </label></div><div id="cid_199" class="form-input-wide"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_199_0" name="q199_input199[]" value="Week 1: June 29—July 3" /><label id="label_input_199_0" for="input_199_0"><span>Week 1: June 29—July 3</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_199_1" name="q199_input199[]" value="Week 2: July 6—10" /><label id="label_input_199_1" for="input_199_1"><span>Week 2: July 6—10</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_199_2" name="q199_input199[]" value="Week 3: July 13—17" /><label id="label_input_199_2" for="input_199_2"><span>Week 3: July 13—17</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_199_3" name="q199_input199[]" value="Week 4: July 20—24" /><label id="label_input_199_3" for="input_199_3"><span>Week 4: July 20—24</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_199_4" name="q199_input199[]" value="Week 5: July 27—Jul 31" /><label id="label_input_199_4" for="input_199_4"><span>Week 5: July 27—Jul 31</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_199_5" name="q199_input199[]" value="Week 6: Aug 3—Aug 7" /><label id="label_input_199_5" for="input_199_5"><span>Week 6: Aug 3—Aug 7</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_199_6" name="q199_input199[]" value="Week 7: Aug 10—14" /><label id="label_input_199_6" for="input_199_6"><span>Week 7: Aug 10—14</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_200"><div class="form-label-top" id="label_200"><label for="input_200"> Camper 4: Tiny, Mini &amp; Jr Gan, 3 Day Program: </label><label class="label-message" for="input_200"> </label></div><div id="cid_200" class="form-input-wide"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_200_0" name="q200_input200[]" value="Week 1: June 29—July 3" /><label id="label_input_200_0" for="input_200_0"><span>Week 1: June 29—July 3</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_200_1" name="q200_input200[]" value="Week 2: July 6—10" /><label id="label_input_200_1" for="input_200_1"><span>Week 2: July 6—10</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_200_2" name="q200_input200[]" value="Week 3: July 13—17" /><label id="label_input_200_2" for="input_200_2"><span>Week 3: July 13—17</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_200_3" name="q200_input200[]" value="Week 4: July 20—24" /><label id="label_input_200_3" for="input_200_3"><span>Week 4: July 20—24</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_200_4" name="q200_input200[]" value="Week 5: July 27—Jul 31" /><label id="label_input_200_4" for="input_200_4"><span>Week 5: July 27—Jul 31</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_200_5" name="q200_input200[]" value="Week 6: Aug 3—Aug 7" /><label id="label_input_200_5" for="input_200_5"><span>Week 6: Aug 3—Aug 7</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_200_6" name="q200_input200[]" value="Week 7: Aug 10—14" /><label id="label_input_200_6" for="input_200_6"><span>Week 7: Aug 10—14</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_201"><div class="form-label-top" id="label_201"><label for="input_201"> Camper 4: Tiny &amp; Mini Gan, 5 Half  Day Program: </label><label class="label-message" for="input_201"> </label></div><div id="cid_201" class="form-input-wide"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_201_0" name="q201_input201[]" value="Week 1: June 29—July 3" /><label id="label_input_201_0" for="input_201_0"><span>Week 1: June 29—July 3</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_201_1" name="q201_input201[]" value="Week 2: July 6—10" /><label id="label_input_201_1" for="input_201_1"><span>Week 2: July 6—10</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_201_2" name="q201_input201[]" value="Week 3: July 13—17" /><label id="label_input_201_2" for="input_201_2"><span>Week 3: July 13—17</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_201_3" name="q201_input201[]" value="Week 4: July 20—24" /><label id="label_input_201_3" for="input_201_3"><span>Week 4: July 20—24</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_201_4" name="q201_input201[]" value="Week 5: July 27—Jul 31" /><label id="label_input_201_4" for="input_201_4"><span>Week 5: July 27—Jul 31</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_201_5" name="q201_input201[]" value="Week 6: Aug 3—Aug 7" /><label id="label_input_201_5" for="input_201_5"><span>Week 6: Aug 3—Aug 7</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_201_6" name="q201_input201[]" value="Week 7: Aug 10—14" /><label id="label_input_201_6" for="input_201_6"><span>Week 7: Aug 10—14</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_202"><div class="form-label-top" id="label_202"><label for="input_202"> Camper 4 : Tiny, Mini &amp; Jr Gan, 5 Day Program: </label><label class="label-message" for="input_202"> </label></div><div id="cid_202" class="form-input-wide"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_202_0" name="q202_input202[]" value="Week 1: June 29—July 3" /><label id="label_input_202_0" for="input_202_0"><span>Week 1: June 29—July 3</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_202_1" name="q202_input202[]" value="Week 2: July 6—10" /><label id="label_input_202_1" for="input_202_1"><span>Week 2: July 6—10</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_202_2" name="q202_input202[]" value="Week 3: July 13—17" /><label id="label_input_202_2" for="input_202_2"><span>Week 3: July 13—17</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_202_3" name="q202_input202[]" value="Week 4: July 20—24" /><label id="label_input_202_3" for="input_202_3"><span>Week 4: July 20—24</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_202_4" name="q202_input202[]" value="Week 5: July 27—Jul 31" /><label id="label_input_202_4" for="input_202_4"><span>Week 5: July 27—Jul 31</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_202_5" name="q202_input202[]" value="Week 6: Aug 3—Aug 7" /><label id="label_input_202_5" for="input_202_5"><span>Week 6: Aug 3—Aug 7</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_202_6" name="q202_input202[]" value="Week 7: Aug 10—14" /><label id="label_input_202_6" for="input_202_6"><span>Week 7: Aug 10—14</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_203"><div class="form-label-top" id="label_203"><label for="input_203"> Camper 4: Senior Gan, 3 Day Program: </label><label class="label-message" for="input_203"> </label></div><div id="cid_203" class="form-input-wide"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_203_0" name="q203_input203[]" value="Week 1: June 29—July 3" /><label id="label_input_203_0" for="input_203_0"><span>Week 1: June 29—July 3</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_203_1" name="q203_input203[]" value="Week 2: July 6—10" /><label id="label_input_203_1" for="input_203_1"><span>Week 2: July 6—10</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_203_2" name="q203_input203[]" value="Week 3: July 13—17" /><label id="label_input_203_2" for="input_203_2"><span>Week 3: July 13—17</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_203_3" name="q203_input203[]" value="Week 4: July 20—24" /><label id="label_input_203_3" for="input_203_3"><span>Week 4: July 20—24</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_203_4" name="q203_input203[]" value="Week 5: July 27—Jul 31" /><label id="label_input_203_4" for="input_203_4"><span>Week 5: July 27—Jul 31</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_203_5" name="q203_input203[]" value="Week 6: Aug 3—Aug 7" /><label id="label_input_203_5" for="input_203_5"><span>Week 6: Aug 3—Aug 7</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_203_6" name="q203_input203[]" value="Week 7: Aug 10—14" /><label id="label_input_203_6" for="input_203_6"><span>Week 7: Aug 10—14</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_204"><div class="form-label-top" id="label_204"><label for="input_204"> Camper 4: Senior Gan, 5 Day Program: </label><label class="label-message" for="input_204"> </label></div><div id="cid_204" class="form-input-wide"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_204_0" name="q204_input204[]" value="Week 1: June 29—July 3" /><label id="label_input_204_0" for="input_204_0"><span>Week 1: June 29—July 3</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_204_1" name="q204_input204[]" value="Week 2: July 6—10" /><label id="label_input_204_1" for="input_204_1"><span>Week 2: July 6—10</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_204_2" name="q204_input204[]" value="Week 3: July 13—17" /><label id="label_input_204_2" for="input_204_2"><span>Week 3: July 13—17</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_204_3" name="q204_input204[]" value="Week 4: July 20—24" /><label id="label_input_204_3" for="input_204_3"><span>Week 4: July 20—24</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_204_4" name="q204_input204[]" value="Week 5: July 27—Jul 31" /><label id="label_input_204_4" for="input_204_4"><span>Week 5: July 27—Jul 31</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_204_5" name="q204_input204[]" value="Week 6: Aug 3—Aug 7" /><label id="label_input_204_5" for="input_204_5"><span>Week 6: Aug 3—Aug 7</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_204_6" name="q204_input204[]" value="Week 7: Aug 10—14" /><label id="label_input_204_6" for="input_204_6"><span>Week 7: Aug 10—14</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_205"><div class="form-label-top" id="label_205"><label for="input_205"> Camper 4: If attending 3 days/week, please specify which days </label><label class="label-message" for="input_205"> </label></div><div id="cid_205" class="form-input-wide"> <input type="text" class=" form-textbox" data-type="input-textbox" id="input_205" name="q205_input205" size="40" value="" /> </div></li><li class="form-line" id="id_206"><div class="form-label-top" id="label_206"><label for="input_206"> Camper 4: Number of weeks requiring before/aftercare: </label><label class="label-message" for="input_206"> </label></div><div id="cid_206" class="form-input-wide"> <input type="number" class="form-number-input  form-textbox" id="input_206" name="q206_number206" style="width:68px" size="6" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" /> </div></li><li class="form-line" id="id_207"><div class="form-label-top" id="label_207"><label for="input_207"> Camper 4: Number of hours of before/aftercare for Week 1: </label><label class="label-message" for="input_207"> </label></div><div id="cid_207" class="form-input-wide"> <span class="form-sub-label-container"><input type="number" class="form-number-input  form-textbox" id="input_207" name="q207_number207" style="width:68px" size="6" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" />  <label class="form-sub-label" for="input_207">$55/hr/week</label></span> </div></li><li class="form-line" id="id_208"><div class="form-label-top" id="label_208"><label for="input_208"> Camper 4: Number of hours of before/aftercare for Week 2: </label><label class="label-message" for="input_208"> </label></div><div id="cid_208" class="form-input-wide"> <span class="form-sub-label-container"><input type="number" class="form-number-input  form-textbox" id="input_208" name="q208_number208" style="width:68px" size="6" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" />  <label class="form-sub-label" for="input_208">$55/hr/week</label></span> </div></li><li class="form-line" id="id_209"><div class="form-label-top" id="label_209"><label for="input_209"> Camper 4: Number of hours of before/aftercare for Week 3: </label><label class="label-message" for="input_209"> </label></div><div id="cid_209" class="form-input-wide"> <span class="form-sub-label-container"><input type="number" class="form-number-input  form-textbox" id="input_209" name="q209_number209" style="width:68px" size="6" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" />  <label class="form-sub-label" for="input_209">$55/hr/week</label></span> </div></li><li class="form-line" id="id_210"><div class="form-label-top" id="label_210"><label for="input_210"> Camper 4: Number of hours of before/aftercare for Week 4: </label><label class="label-message" for="input_210"> </label></div><div id="cid_210" class="form-input-wide"> <span class="form-sub-label-container"><input type="number" class="form-number-input  form-textbox" id="input_210" name="q210_number210" style="width:68px" size="6" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" />  <label class="form-sub-label" for="input_210">$55/hr/week</label></span> </div></li><li class="form-line" id="id_211"><div class="form-label-top" id="label_211"><label for="input_211"> Camper 4: Number of hours of before/aftercare for Week 5: </label><label class="label-message" for="input_211"> </label></div><div id="cid_211" class="form-input-wide"> <span class="form-sub-label-container"><input type="number" class="form-number-input  form-textbox" id="input_211" name="q211_number211" style="width:68px" size="6" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" />  <label class="form-sub-label" for="input_211">$55/hr/week</label></span> </div></li><li class="form-line" id="id_212"><div class="form-label-top" id="label_212"><label for="input_212"> Camper 4: Number of hours of before/aftercare for Week 6: </label><label class="label-message" for="input_212"> </label></div><div id="cid_212" class="form-input-wide"> <span class="form-sub-label-container"><input type="number" class="form-number-input  form-textbox" id="input_212" name="q212_number212" style="width:68px" size="6" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" />  <label class="form-sub-label" for="input_212">$55/hr/week</label></span> </div></li><li class="form-line" id="id_213"><div class="form-label-top" id="label_213"><label for="input_213"> Camper 4: Number of hours of before/aftercare for Week 7: </label><label class="label-message" for="input_213"> </label></div><div id="cid_213" class="form-input-wide"> <span class="form-sub-label-container"><input type="number" class="form-number-input  form-textbox" id="input_213" name="q213_number213" style="width:68px" size="6" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" />  <label class="form-sub-label" for="input_213">$55/hr/week</label></span> </div></li><li class="form-line" id="id_214"><div class="form-label-top" id="label_214"><label for="input_214"> Camper 4: Please Specify </label><label class="label-message" for="input_214"> </label></div><div id="cid_214" class="form-input-wide"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_214_0" name="q214_input214[]" value="Before Care (avail. from 8-9 am)" /><label id="label_input_214_0" for="input_214_0"><span>Before Care (avail. from 8-9 am)</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_214_1" name="q214_input214[]" value="After Care (avail. from 3-5:30 pm)" /><label id="label_input_214_1" for="input_214_1"><span>After Care (avail. from 3-5:30 pm)</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_215"><div class="form-label-top" id="label_215"><label for="input_215"> Camper 4: please specify which days/times, if needed </label><label class="label-message" for="input_215"> </label></div><div id="cid_215" class="form-input-wide"> <input type="text" class=" form-textbox" data-type="input-textbox" id="input_215" name="q215_input215" size="40" value="" /> </div></li><li class="form-line" id="id_216"><div class="form-label-top" id="label_216"><label for="input_216"> Camper 4: My child receives support services through EI or CPSE:<span class="form-required">*</span> </label><label class="label-message" for="input_216"> </label></div><div id="cid_216" class="form-input-wide"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_216_0" name="q216_input216" value="Yes" /><label id="label_input_216_0" for="input_216_0"><span>Yes</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_216_1" name="q216_input216" value="No" /><label id="label_input_216_1" for="input_216_1"><span>No</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_217"><div class="form-label-top" id="label_217"><label for="input_217"> Camper 4: SUPPORT SERVICES Occupational Therapy </label><label class="label-message" for="input_217"> </label></div><div id="cid_217" class="form-input-wide"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_217_0" name="q217_input217" value="10 months" /><label id="label_input_217_0" for="input_217_0"><span>10 months</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_217_1" name="q217_input217" value="12 months" /><label id="label_input_217_1" for="input_217_1"><span>12 months</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_217_2" name="q217_input217" value="N/A" /><label id="label_input_217_2" for="input_217_2"><span>N/A</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_218"><div class="form-label-top" id="label_218"><label for="input_218"> Camper 4: Mandate (hours and times per week: </label><label class="label-message" for="input_218"> </label></div><div id="cid_218" class="form-input-wide"> <input type="text" class=" form-textbox" data-type="input-textbox" id="input_218" name="q218_input218" size="20" value="" /> </div></li><li class="form-line" id="id_224"><div class="form-label-top" id="label_224"><label for="input_224"> Camper 4: SUPPORT SERVICES Physical Therapy  </label><label class="label-message" for="input_224"> </label></div><div id="cid_224" class="form-input-wide"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_224_0" name="q224_input224" value="10 months" /><label id="label_input_224_0" for="input_224_0"><span>10 months</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_224_1" name="q224_input224" value="12 months" /><label id="label_input_224_1" for="input_224_1"><span>12 months</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_224_2" name="q224_input224" value="N/A" /><label id="label_input_224_2" for="input_224_2"><span>N/A</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_222"><div class="form-label-top" id="label_222"><label for="input_222"> Camper 4: Mandate (hours and times per week: </label><label class="label-message" for="input_222"> </label></div><div id="cid_222" class="form-input-wide"> <input type="text" class=" form-textbox" data-type="input-textbox" id="input_222" name="q222_input222" size="20" value="" /> </div></li><li class="form-line" id="id_219"><div class="form-label-top" id="label_219"><label for="input_219"> Camper 4: SUPPORT SERVICES Speech Therapy </label><label class="label-message" for="input_219"> </label></div><div id="cid_219" class="form-input-wide"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_219_0" name="q219_input219" value="10 months" /><label id="label_input_219_0" for="input_219_0"><span>10 months</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_219_1" name="q219_input219" value="12 months" /><label id="label_input_219_1" for="input_219_1"><span>12 months</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_219_2" name="q219_input219" value="N/A" /><label id="label_input_219_2" for="input_219_2"><span>N/A</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_225"><div class="form-label-top" id="label_225"><label for="input_225"> Camper 4: Mandate (hours and times per week: </label><label class="label-message" for="input_225"> </label></div><div id="cid_225" class="form-input-wide"> <input type="text" class=" form-textbox" data-type="input-textbox" id="input_225" name="q225_input225" size="20" value="" /> </div></li><li class="form-line" id="id_220"><div class="form-label-top" id="label_220"><label for="input_220"> Camper 4: SUPPORT SERVICES Special Instruction/SEIS </label><label class="label-message" for="input_220"> </label></div><div id="cid_220" class="form-input-wide"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_220_0" name="q220_input220" value="10 months" /><label id="label_input_220_0" for="input_220_0"><span>10 months</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_220_1" name="q220_input220" value="12 months" /><label id="label_input_220_1" for="input_220_1"><span>12 months</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_220_2" name="q220_input220" value="N/A" /><label id="label_input_220_2" for="input_220_2"><span>N/A</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_223"><div class="form-label-top" id="label_223"><label for="input_223"> Camper 4: Mandate (hours and times per week: </label><label class="label-message" for="input_223"> </label></div><div id="cid_223" class="form-input-wide"> <input type="text" class=" form-textbox" data-type="input-textbox" id="input_223" name="q223_input223" size="20" value="" /> </div></li><li class="form-line" id="id_221"><div class="form-label-top" id="label_221"><label for="input_221"> Camper 4: Any special concerns / allergies / requests regarding camper? </label><label class="label-message" for="input_221"> </label></div><div id="cid_221" class="form-input-wide"> <textarea id="input_221" class="form-textarea" name="q221_input221" cols="40" rows="6"></textarea> </div></li><li class="form-line" id="id_231"><div class="form-label-top" id="label_231"><label for="input_231"> Camper 4: Camp T-shirt Size </label><label class="label-message" for="input_231"> </label></div><div id="cid_231" class="form-input-wide"> <select class="form-dropdown" style="width:150px" id="input_231" name="q231_input231"><option value=""></option><option value="2T">2T</option><option value="3T">3T</option><option value="4T">4T</option><option value="Child extra small">Child extra small</option><option value="Child small">Child small</option><option value="Child medium">Child medium</option></select> </div></li><li id="cid_43" class="form-input-wide"> <div class="form-header-group"><h3 id="header_43" class="form-header">Family Information</h3></div> </li><li class="form-line" id="id_27"><div class="form-label-top" id="label_27"><label for="input_27"> Mother's Name<span class="form-required">*</span> </label><label class="label-message" for="input_27"> </label></div><div id="cid_27" class="form-input-wide"> <span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q27_fullName27[first]" id="first_27" autocomplete="given-name" />  <label class="form-sub-label" for="first_27" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q27_fullName27[last]" id="last_27" autocomplete="family-name" />  <label class="form-sub-label" for="last_27" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_28"><div class="form-label-top" id="label_28"><label for="input_28"> Mother's Cell<span class="form-required">*</span> </label><label class="label-message" for="input_28"> </label></div><div id="cid_28" class="form-input-wide"> <div class="dir_ltr"><span class="form-sub-label-container"><input class="form-textbox validate[required, Numeric]" type="tel" name="q28_phoneNumber[area]" id="input_28_area" autocomplete="tel-area-code" maxlength="5" size="3" />  <label class="form-sub-label" for="input_28_area" id="sublabel_area">Area Code</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required, Numeric]" type="tel" name="q28_phoneNumber[phone]" id="input_28_phone" autocomplete="tel-local" size="8" />  <label class="form-sub-label" for="input_28_phone" id="sublabel_phone">Phone Number</label></span></div> </div></li><li class="form-line" id="id_83"><div class="form-label-top" id="label_83"><label for="input_83"> Mother's Work<span class="form-required">*</span> </label><label class="label-message" for="input_83"> </label></div><div id="cid_83" class="form-input-wide"> <div class="dir_ltr"><span class="form-sub-label-container"><input class="form-textbox validate[required, Numeric]" type="tel" name="q83_phoneNumber83[area]" id="input_83_area" autocomplete="tel-area-code" maxlength="5" size="3" />  <label class="form-sub-label" for="input_83_area" id="sublabel_area">Area Code</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required, Numeric]" type="tel" name="q83_phoneNumber83[phone]" id="input_83_phone" autocomplete="tel-local" size="8" />  <label class="form-sub-label" for="input_83_phone" id="sublabel_phone">Phone Number</label></span></div> </div></li><li class="form-line" id="id_29"><div class="form-label-top" id="label_29"><label for="input_29"> Mother's Secondary Number </label><label class="label-message" for="input_29"> </label></div><div id="cid_29" class="form-input-wide"> <div class="dir_ltr"><span class="form-sub-label-container"><input class="form-textbox validate[Numeric]" type="tel" name="q29_phoneNumber29[area]" id="input_29_area" autocomplete="tel-area-code" maxlength="5" size="3" />  <label class="form-sub-label" for="input_29_area" id="sublabel_area">Area Code</label></span><span class="form-sub-label-container"><input class="form-textbox validate[Numeric]" type="tel" name="q29_phoneNumber29[phone]" id="input_29_phone" autocomplete="tel-local" size="8" />  <label class="form-sub-label" for="input_29_phone" id="sublabel_phone">Phone Number</label></span></div> </div></li><li class="form-line" id="id_30"><div class="form-label-top" id="label_30"><label for="input_30"> Father's Name<span class="form-required">*</span> </label><label class="label-message" for="input_30"> </label></div><div id="cid_30" class="form-input-wide"> <span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q30_fullName30[first]" id="first_30" autocomplete="given-name" />  <label class="form-sub-label" for="first_30" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q30_fullName30[last]" id="last_30" autocomplete="family-name" />  <label class="form-sub-label" for="last_30" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_31"><div class="form-label-top" id="label_31"><label for="input_31"> Father's Cell<span class="form-required">*</span> </label><label class="label-message" for="input_31"> </label></div><div id="cid_31" class="form-input-wide"> <div class="dir_ltr"><span class="form-sub-label-container"><input class="form-textbox validate[required, Numeric]" type="tel" name="q31_phoneNumber31[area]" id="input_31_area" autocomplete="tel-area-code" maxlength="5" size="3" />  <label class="form-sub-label" for="input_31_area" id="sublabel_area">Area Code</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required, Numeric]" type="tel" name="q31_phoneNumber31[phone]" id="input_31_phone" autocomplete="tel-local" size="8" />  <label class="form-sub-label" for="input_31_phone" id="sublabel_phone">Phone Number</label></span></div> </div></li><li class="form-line" id="id_82"><div class="form-label-top" id="label_82"><label for="input_82"> Father's Work<span class="form-required">*</span> </label><label class="label-message" for="input_82"> </label></div><div id="cid_82" class="form-input-wide"> <div class="dir_ltr"><span class="form-sub-label-container"><input class="form-textbox validate[required, Numeric]" type="tel" name="q82_phoneNumber82[area]" id="input_82_area" autocomplete="tel-area-code" maxlength="5" size="3" />  <label class="form-sub-label" for="input_82_area" id="sublabel_area">Area Code</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required, Numeric]" type="tel" name="q82_phoneNumber82[phone]" id="input_82_phone" autocomplete="tel-local" size="8" />  <label class="form-sub-label" for="input_82_phone" id="sublabel_phone">Phone Number</label></span></div> </div></li><li class="form-line" id="id_32"><div class="form-label-top" id="label_32"><label for="input_32"> Father's Secondary Number </label><label class="label-message" for="input_32"> </label></div><div id="cid_32" class="form-input-wide"> <div class="dir_ltr"><span class="form-sub-label-container"><input class="form-textbox validate[Numeric]" type="tel" name="q32_phoneNumber32[area]" id="input_32_area" autocomplete="tel-area-code" maxlength="5" size="3" />  <label class="form-sub-label" for="input_32_area" id="sublabel_area">Area Code</label></span><span class="form-sub-label-container"><input class="form-textbox validate[Numeric]" type="tel" name="q32_phoneNumber32[phone]" id="input_32_phone" autocomplete="tel-local" size="8" />  <label class="form-sub-label" for="input_32_phone" id="sublabel_phone">Phone Number</label></span></div> </div></li><li class="form-line" id="id_33"><div class="form-label-top" id="label_33"><label for="input_33"> Address<span class="form-required">*</span> </label><label class="label-message" for="input_33"> </label></div><div id="cid_33" class="form-input-wide"> <table summary="" class="form-address-table" border="0" cellpadding="0" cellspacing="0"><tbody><tr><td colspan="2"><span class="form-sub-label-container"><input class="form-textbox validate[required] form-address-line" type="text" name="q33_address[addr_line1]" id="input_33_addr_line1" size="46" autocomplete="address-line1" />  <label class="form-sub-label" for="input_33_addr_line1" id="sublabel_33_addr_line1">Street Address</label></span></td></tr><tr><td colspan="2"><span class="form-sub-label-container"><input class="form-textbox form-address-line no-validation" type="text" name="q33_address[addr_line2]" id="input_33_addr_line2" size="46" autocomplete="address-line2" />  <label class="form-sub-label" for="input_33_addr_line2" id="sublabel_33_addr_line2">Street Address Line 2</label></span></td></tr><tr><td width="50%"><span class="form-sub-label-container"><input class="form-textbox validate[required] form-address-city" type="text" name="q33_address[city]" id="input_33_city" size="21" autocomplete="address-level2" />  <label class="form-sub-label" for="input_33_city" id="sublabel_33_city">City</label></span></td><td><span class="form-sub-label-container"><input class="form-textbox validate[required] form-address-state" type="text" name="q33_address[state]" id="input_33_state" size="22" autocomplete="address-level1" />  <label class="form-sub-label" for="input_33_state" id="sublabel_33_state">State / Province</label></span></td></tr><tr><td width="50%"><span class="form-sub-label-container"><input class="form-textbox validate[required] form-address-postal" type="text" name="q33_address[postal]" id="input_33_postal" size="10" autocomplete="postal-code" />  <label class="form-sub-label" for="input_33_postal" id="sublabel_33_postal">Postal / Zip Code</label></span></td><td><span class="form-sub-label-container"><select class="form-dropdown validate[required] form-address-country" name="q33_address[country]" id="input_33_country" autocomplete="country-name"><option value="" selected="selected">Please Select</option><option value="United States">United States</option><option value="Afghanistan">Afghanistan</option><option value="Albania">Albania</option><option value="Algeria">Algeria</option><option value="American Samoa">American Samoa</option><option value="Andorra">Andorra</option><option value="Angola">Angola</option><option value="Anguilla">Anguilla</option><option value="Antigua and Barbuda">Antigua and Barbuda</option><option value="Argentina">Argentina</option><option value="Armenia">Armenia</option><option value="Aruba">Aruba</option><option value="Australia">Australia</option><option value="Austria">Austria</option><option value="Azerbaijan">Azerbaijan</option><option value="The Bahamas">The Bahamas</option><option value="Bahrain">Bahrain</option><option value="Bangladesh">Bangladesh</option><option value="Barbados">Barbados</option><option value="Belarus">Belarus</option><option value="Belgium">Belgium</option><option value="Belize">Belize</option><option value="Benin">Benin</option><option value="Bermuda">Bermuda</option><option value="Bhutan">Bhutan</option><option value="Bolivia">Bolivia</option><option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option><option value="Botswana">Botswana</option><option value="Brazil">Brazil</option><option value="Brunei">Brunei</option><option value="Bulgaria">Bulgaria</option><option value="Burkina Faso">Burkina Faso</option><option value="Burundi">Burundi</option><option value="Cambodia">Cambodia</option><option value="Cameroon">Cameroon</option><option value="Canada">Canada</option><option value="Cape Verde">Cape Verde</option><option value="Cayman Islands">Cayman Islands</option><option value="Central African Republic">Central African Republic</option><option value="Chad">Chad</option><option value="Chile">Chile</option><option value="People's Republic of China">People's Republic of China</option><option value="Republic of China">Republic of China</option><option value="Christmas Island">Christmas Island</option><option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option><option value="Colombia">Colombia</option><option value="Comoros">Comoros</option><option value="Congo">Congo</option><option value="Cook Islands">Cook Islands</option><option value="Costa Rica">Costa Rica</option><option value="Cote d'Ivoire">Cote d'Ivoire</option><option value="Croatia">Croatia</option><option value="Cuba">Cuba</option><option value="Cyprus">Cyprus</option><option value="Czech Republic">Czech Republic</option><option value="Denmark">Denmark</option><option value="Djibouti">Djibouti</option><option value="Dominica">Dominica</option><option value="Dominican Republic">Dominican Republic</option><option value="Ecuador">Ecuador</option><option value="Egypt">Egypt</option><option value="El Salvador">El Salvador</option><option value="Equatorial Guinea">Equatorial Guinea</option><option value="Eritrea">Eritrea</option><option value="Estonia">Estonia</option><option value="Eswatini">Eswatini</option><option value="Ethiopia">Ethiopia</option><option value="Falkland Islands">Falkland Islands</option><option value="Faroe Islands">Faroe Islands</option><option value="Fiji">Fiji</option><option value="Finland">Finland</option><option value="France">France</option><option value="French Polynesia">French Polynesia</option><option value="Gabon">Gabon</option><option value="The Gambia">The Gambia</option><option value="Georgia">Georgia</option><option value="Germany">Germany</option><option value="Ghana">Ghana</option><option value="Gibraltar">Gibraltar</option><option value="Greece">Greece</option><option value="Greenland">Greenland</option><option value="Grenada">Grenada</option><option value="Guadeloupe">Guadeloupe</option><option value="Guam">Guam</option><option value="Guatemala">Guatemala</option><option value="Guernsey">Guernsey</option><option value="Guinea">Guinea</option><option value="Guinea-Bissau">Guinea-Bissau</option><option value="Guyana">Guyana</option><option value="Haiti">Haiti</option><option value="Honduras">Honduras</option><option value="Hong Kong">Hong Kong</option><option value="Hungary">Hungary</option><option value="Iceland">Iceland</option><option value="India">India</option><option value="Indonesia">Indonesia</option><option value="Iran">Iran</option><option value="Iraq">Iraq</option><option value="Ireland">Ireland</option><option value="Israel">Israel</option><option value="Italy">Italy</option><option value="Jamaica">Jamaica</option><option value="Japan">Japan</option><option value="Jersey">Jersey</option><option value="Jordan">Jordan</option><option value="Kazakhstan">Kazakhstan</option><option value="Kenya">Kenya</option><option value="Kiribati">Kiribati</option><option value="North Korea">North Korea</option><option value="South Korea">South Korea</option><option value="Kosovo">Kosovo</option><option value="Kuwait">Kuwait</option><option value="Kyrgyzstan">Kyrgyzstan</option><option value="Laos">Laos</option><option value="Latvia">Latvia</option><option value="Lebanon">Lebanon</option><option value="Lesotho">Lesotho</option><option value="Liberia">Liberia</option><option value="Libya">Libya</option><option value="Liechtenstein">Liechtenstein</option><option value="Lithuania">Lithuania</option><option value="Luxembourg">Luxembourg</option><option value="Macau">Macau</option><option value="Macedonia">Macedonia</option><option value="Madagascar">Madagascar</option><option value="Malawi">Malawi</option><option value="Malaysia">Malaysia</option><option value="Maldives">Maldives</option><option value="Mali">Mali</option><option value="Malta">Malta</option><option value="Marshall Islands">Marshall Islands</option><option value="Martinique">Martinique</option><option value="Mauritania">Mauritania</option><option value="Mauritius">Mauritius</option><option value="Mayotte">Mayotte</option><option value="Mexico">Mexico</option><option value="Micronesia">Micronesia</option><option value="Moldova">Moldova</option><option value="Monaco">Monaco</option><option value="Mongolia">Mongolia</option><option value="Montenegro">Montenegro</option><option value="Montserrat">Montserrat</option><option value="Morocco">Morocco</option><option value="Mozambique">Mozambique</option><option value="Myanmar">Myanmar</option><option value="Namibia">Namibia</option><option value="Nauru">Nauru</option><option value="Nepal">Nepal</option><option value="Netherlands">Netherlands</option><option value="New Caledonia">New Caledonia</option><option value="New Zealand">New Zealand</option><option value="Nicaragua">Nicaragua</option><option value="Niger">Niger</option><option value="Nigeria">Nigeria</option><option value="Niue">Niue</option><option value="Norfolk Island">Norfolk Island</option><option value="Northern Mariana">Northern Mariana</option><option value="Norway">Norway</option><option value="Oman">Oman</option><option value="Pakistan">Pakistan</option><option value="Palau">Palau</option><option value="Panama">Panama</option><option value="Papua New Guinea">Papua New Guinea</option><option value="Paraguay">Paraguay</option><option value="Peru">Peru</option><option value="Philippines">Philippines</option><option value="Pitcairn Islands">Pitcairn Islands</option><option value="Poland">Poland</option><option value="Portugal">Portugal</option><option value="Puerto Rico">Puerto Rico</option><option value="Qatar">Qatar</option><option value="Romania">Romania</option><option value="Russia">Russia</option><option value="Rwanda">Rwanda</option><option value="Saint Barthelemy">Saint Barthelemy</option><option value="Saint Helena">Saint Helena</option><option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option><option value="Saint Lucia">Saint Lucia</option><option value="Saint Martin">Saint Martin</option><option value="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option><option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option><option value="Samoa">Samoa</option><option value="San Marino">San Marino</option><option value="Sao Tome and Principe">Sao Tome and Principe</option><option value="Saudi Arabia">Saudi Arabia</option><option value="Senegal">Senegal</option><option value="Serbia">Serbia</option><option value="Seychelles">Seychelles</option><option value="Sierra Leone">Sierra Leone</option><option value="Singapore">Singapore</option><option value="Slovakia">Slovakia</option><option value="Slovenia">Slovenia</option><option value="Solomon Islands">Solomon Islands</option><option value="Somalia">Somalia</option><option value="Somaliland">Somaliland</option><option value="South Africa">South Africa</option><option value="South Ossetia">South Ossetia</option><option value="Spain">Spain</option><option value="Sri Lanka">Sri Lanka</option><option value="Sudan">Sudan</option><option value="Suriname">Suriname</option><option value="Svalbard">Svalbard</option><option value="Sweden">Sweden</option><option value="Switzerland">Switzerland</option><option value="Syria">Syria</option><option value="Taiwan">Taiwan</option><option value="Tajikistan">Tajikistan</option><option value="Tanzania">Tanzania</option><option value="Thailand">Thailand</option><option value="Timor-Leste">Timor-Leste</option><option value="Togo">Togo</option><option value="Tokelau">Tokelau</option><option value="Tonga">Tonga</option><option value="Trinidad and Tobago">Trinidad and Tobago</option><option value="Tristan da Cunha">Tristan da Cunha</option><option value="Tunisia">Tunisia</option><option value="Turkey">Turkey</option><option value="Turkmenistan">Turkmenistan</option><option value="Turks and Caicos Islands">Turks and Caicos Islands</option><option value="Tuvalu">Tuvalu</option><option value="Uganda">Uganda</option><option value="Ukraine">Ukraine</option><option value="United Arab Emirates">United Arab Emirates</option><option value="United Kingdom">United Kingdom</option><option value="Uruguay">Uruguay</option><option value="Uzbekistan">Uzbekistan</option><option value="Vanuatu">Vanuatu</option><option value="Vatican City">Vatican City</option><option value="Venezuela">Venezuela</option><option value="Vietnam">Vietnam</option><option value="British Virgin Islands">British Virgin Islands</option><option value="US Virgin Islands">US Virgin Islands</option><option value="Wallis and Futuna">Wallis and Futuna</option><option value="Western Sahara">Western Sahara</option><option value="Yemen">Yemen</option><option value="Zambia">Zambia</option><option value="Zimbabwe">Zimbabwe</option><option value="other">Other</option></select>  <label class="form-sub-label" for="input_33_country" id="sublabel_33_country">Country</label></span></td></tr></tbody></table> </div></li><li class="form-line" id="id_35"><div class="form-label-top" id="label_35"><label for="input_35"> Home Phone Number </label><label class="label-message" for="input_35"> </label></div><div id="cid_35" class="form-input-wide"> <div class="dir_ltr"><span class="form-sub-label-container"><input class="form-textbox validate[Numeric]" type="tel" name="q35_phoneNumber35[area]" id="input_35_area" autocomplete="tel-area-code" maxlength="5" size="3" />  <label class="form-sub-label" for="input_35_area" id="sublabel_area">Area Code</label></span><span class="form-sub-label-container"><input class="form-textbox validate[Numeric]" type="tel" name="q35_phoneNumber35[phone]" id="input_35_phone" autocomplete="tel-local" size="8" />  <label class="form-sub-label" for="input_35_phone" id="sublabel_phone">Phone Number</label></span></div> </div></li><li class="form-line" id="id_34"><div class="form-label-top" id="label_34"><label for="input_34"> E-mail<span class="form-required">*</span> </label><label class="label-message" for="input_34"> </label></div><div id="cid_34" class="form-input-wide"> <input type="email" class=" form-textbox validate[required, Email]" id="input_34" name="q34_email" size="30" value="" autocomplete="email" /> </div></li><li class="form-line" id="id_36"><div class="form-label-top" id="label_36"><label for="input_36"> Referred by </label><label class="label-message" for="input_36"> </label></div><div id="cid_36" class="form-input-wide"> <input type="text" class=" form-textbox" data-type="input-textbox" id="input_36" name="q36_input36" size="20" value="" /> </div></li><li class="form-line" id="id_81"><div class="form-label-top" id="label_81"><label for="input_81"> Additional Comments or Requests </label><label class="label-message" for="input_81"> </label></div><div id="cid_81" class="form-input-wide"> <textarea id="input_81" class="form-textarea" name="q81_input81" cols="40" rows="6"></textarea> </div></li><li id="cid_44" class="form-input-wide"> <div class="form-header-group"><h3 id="header_44" class="form-header">Background Information</h3></div> </li><li class="form-line" id="id_85"><div class="form-label-top" id="label_85"><label for="input_85"> ﻿Have there been any conversions/adoptions in the family history?﻿ <span class="form-required">*</span> </label><label class="label-message" for="input_85"> </label></div><div id="cid_85" class="form-input-wide"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_85_0" name="q85_input85" value="Yes" /><label id="label_input_85_0" for="input_85_0"><span>Yes</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_85_1" name="q85_input85" value="No" /><label id="label_input_85_1" for="input_85_1"><span>No</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_86"><div class="form-label-top" id="label_86"><label for="input_86"> If yes, please specify: </label><label class="label-message" for="input_86"> </label></div><div id="cid_86" class="form-input-wide"> <input type="text" class=" form-textbox" data-type="input-textbox" id="input_86" name="q86_input86" size="20" value="" /> </div></li><li class="form-line" id="id_87"><div class="form-label-top" id="label_87"><label for="input_87"> 	﻿Are both parents Jewish?﻿ <span class="form-required">*</span> </label><label class="label-message" for="input_87"> </label></div><div id="cid_87" class="form-input-wide"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_87_0" name="q87_input87" value="Yes" /><label id="label_input_87_0" for="input_87_0"><span>Yes</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_87_1" name="q87_input87" value="No" /><label id="label_input_87_1" for="input_87_1"><span>No</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_88"><div class="form-label-top" id="label_88"><label for="input_88"> 	If no, which parent is Jewish? <span class="form-required">*</span> </label><label class="label-message" for="input_88"> </label></div><div id="cid_88" class="form-input-wide"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_88_0" name="q88_input88" value="Mom" /><label id="label_input_88_0" for="input_88_0"><span>Mom</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_88_1" name="q88_input88" value="Dad" /><label id="label_input_88_1" for="input_88_1"><span>Dad</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_89"><div class="form-label-top" id="label_89"><label for="input_89"> Family Synagogue affiliation (if any): </label><label class="label-message" for="input_89"> </label></div><div id="cid_89" class="form-input-wide"> <input type="text" class=" form-textbox" data-type="input-textbox" id="input_89" name="q89_input89" size="20" value="" /> </div></li><li id="cid_84" class="form-input-wide"> <div class="form-header-group"><h3 id="header_84" class="form-header">Rights and Responsibilities of Camp Operators</h3></div> </li><li class="form-line" id="id_160"><div id="cid_160" class="form-input-wide"> <div id="text_160" class="form-html"><p><a href="https://campgi.com/media/pdf/1352/gqDc13529135.pdf">Click here to read.</a></p>
</div> </div></li><li class="form-line" id="id_161"><div class="form-label-top" id="label_161"><label for="input_161">  <span class="form-required">*</span> </label><label class="label-message" for="input_161"> </label></div><div id="cid_161" class="form-input-wide"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_161_0" name="q161_input161[]" value="I have read and understood the rights and responsibilities of Gan Israel Day Camps." /><label id="label_input_161_0" for="input_161_0"><span>I have read and understood the rights and responsibilities of Gan Israel Day Camps.</span></label></span><span class="clearfix"></span></div> </div></li><li id="cid_159" class="form-input-wide"> <div class="form-header-group"><h3 id="header_159" class="form-header">Terms of Agreement</h3></div> </li><li class="form-line" id="id_38"><div id="cid_38" class="form-input-wide"> <div id="text_38" class="form-html"><p>1. PARENTAL CONSENT: I hereby permit my child to participate in all activities of Camp Gan Israel – on and off site including trips.<br />
<br />
2. PAYMENT AND Cancelation: An $85 registration fee (per family) and a $150 deposit (per child) is to accompany this signed enrollment agreement. Your registration fee and deposit are refundable if canceled in writing prior to January 31st, 2026. The final balance is due by May 10, 2026 in order to hold your spot and secure your current rate. There are no refunds for absences, vacations, withdrawals, accidents, or illnesses once the camp season has begun. If your child is absent for more than 7 consecutive days for medical reasons, a tuition refund will be made for each day lost after the 7-day deductible period if you submit a doctor’s note.<br />
<br />
3. No child will be allowed to attend camp until a completed medical form and full payment have been received. Camp reserves the right to deny a camper's admission to camp for any reason, including but not limited to camper not being a good fit for camp or missing vaccinations.<br />
<br />
4.DISMISSAL OF CAMPER: Parent fully understands and agrees that the Camp reserves the right to dismiss, in its sole discretion including but not limited to any camper whose condition, conduct, influence or behavior is deemed unsatisfactory or detrimental to the best interests of the Camp or his/her fellow campers or who violates camp rules and regulations. In the event of dismissal, tuition will be refunded on a pro-rated weekly basis minus the $150 deposit. For the benefit of your child, the Director should be made aware of any treatment for emotional, neurological, physical or psychiatric disorders. Gan Israel Day Camps reserves the right to cancel the program without prior notice &amp; parents will be fully refunded for tuition already paid for the time period not serviced.<br />
<br />
5.MEDICAL CARE: Should it be necessary for the well being of the camper to use outside medical or dental care, all expenses involved will be paid by the Parent. 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. I give permission to the Gan Israel staff to obtain necessary emergency medical treatment for my child with the understanding that the family will be notified as soon as possible.<br />
<br />
6.IMAGES, ETC.: Permission is hereby given for Camp to use in promoting the Camp and in other ventures related to the Camp (i) digital, photographic, video, and audio images or likenesses of camper; and (ii) statements, articles, music, art, photographs, audio recordings, films and videos created by Camper or originating from Camp or from a Camp-related activity</p>
</div> </div></li><li class="form-line" id="id_39"><div class="form-label-top" id="label_39"><label for="input_39"> Disclosure<span class="form-required">*</span> </label><label class="label-message" for="input_39"> </label></div><div id="cid_39" class="form-input-wide"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_39_0" name="q39_input39[]" value="Checking this box is my signature and confirmation that I have read and agree to the camp's terms and conditions." /><label id="label_input_39_0" for="input_39_0"><span>Checking this box is my signature and confirmation that I have read and agree to the camp's terms and conditions.</span></label></span><span class="clearfix"></span></div> </div></li><li id="cid_45" class="form-input-wide"> <div class="form-header-group"><h3 id="header_45" class="form-header">Payment Information</h3></div> </li><li class="form-line" id="id_128"><div id="cid_128" class="form-input-wide"> <div id="text_128" class="form-html"><p>In order to submit your registration, a registration fee of $85 per family plus a $150 deposit per child is required, payable by credit card only.<br />
For the remaining balance, you may submit 2 post dated checks (dated 3/10/26 &amp; 5/10/26) or schedule 2 Zelle payments to office@chabadjewishlife.org on the 2 processing dates (3/10/26 and 5/10/26) and send us a screenshot of your scheduled zelle payments.<br />
If checks/zelle schedule are not received by March 1st, your credit card will be charged for the balance of the camp fees on 3/10/26 &amp; 5/10/26 and a 2.5% fee will be added.<br />
Please select your payment method below:</p>
</div> </div></li><li class="form-line" id="id_90"><div class="form-label-top" id="label_90"><label for="input_90"> Payment Terms<span class="form-required">*</span> </label><label class="label-message" for="input_90"> </label></div><div id="cid_90" class="form-input-wide"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_90_0" name="q90_input90" value="Charge my card the full amount of the camp fees and we will waive the 2.5% fee!" /><label id="label_input_90_0" for="input_90_0"><span>Charge my card the full amount of the camp fees and we will waive the 2.5% fee!</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_90_1" name="q90_input90" value="Charge my card the $85 registration fee &amp; $150 deposit per child now, and charge the balance to my card in 2 parts on March 10th, 2026 &amp; May 10th, 2026. I understand that a 2.5% fee will be added to the balance." /><label id="label_input_90_1" for="input_90_1"><span>Charge my card the $85 registration fee &amp; $150 deposit per child now, and charge the balance to my card in 2 parts on March 10th, 2026 &amp; May 10th, 2026. I understand that a 2.5% fee will be added to the balance.</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_90_2" name="q90_input90" value="Charge my card the $85 registration fee &amp; $150 deposit per child now, and I will send in 2 post dated checks for the balance of the camp fees (dated 3/10/26 &amp; 5/10/26). I understand that my credit card will be charged on 3/10/26 &amp; 5/10/26 if my checks are not submitted to the office by 3/1/26." /><label id="label_input_90_2" for="input_90_2"><span>Charge my card the $85 registration fee &amp; $150 deposit per child now, and I will send in 2 post dated checks for the balance of the camp fees (dated 3/10/26 &amp; 5/10/26). I understand that my credit card will be charged on 3/10/26 &amp; 5/10/26 if my checks are not submitted to the office by 3/1/26.</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_90_3" name="q90_input90" value="Charge my card the $85 registration fee &amp; $150 deposit per child now, and I will schedule 2 zelle payments to office@chabadjewishlife.org for the balance of the camp fees for 3/10/26 &amp; 5/10/26. I understand that my credit card will be charged on 3/10/26 &amp; 5/10/26 with a 2.5% additional fee, if a screenshot of my scheduled Zelle payments are not submitted to the office by 3/1/26." /><label id="label_input_90_3" for="input_90_3"><span>Charge my card the $85 registration fee &amp; $150 deposit per child now, and I will schedule 2 zelle payments to office@chabadjewishlife.org for the balance of the camp fees for 3/10/26 &amp; 5/10/26. I understand that my credit card will be charged on 3/10/26 &amp; 5/10/26 with a 2.5% additional fee, if a screenshot of my scheduled Zelle payments are not submitted to the office by 3/1/26.</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line always-hidden" id="id_162"><div class="form-label-top" id="label_162"><label for="input_162">  </label><label class="label-message" for="input_162"> </label></div><div id="cid_162" class="form-input-wide"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_162_0" name="q162_input162[]" checked="checked" value="20% off per child* will be applied after the form is submitted." /><label id="label_input_162_0" for="input_162_0"><span>20% off per child* will be applied after the form is submitted.</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line always-hidden" id="id_158"><div class="form-label-top" id="label_158"><label for="input_158">   </label><label class="label-message" for="input_158"> </label></div><div id="cid_158" class="form-input-wide"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_158_0" name="q158_input158[]" value="Yes, please apply a $300 discount per child. (Discount will be applied after submission.)" /><label id="label_input_158_0" for="input_158_0"><span>Yes, please apply a $300 discount per child. (Discount will be applied after submission.)</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line always-hidden" id="id_163"><div id="cid_163" class="form-input-wide"> <div id="text_163" class="form-html"><p style="text-align: center;"><strong><span style="font-size:16px;">Please note: Discount will be taken off after registration is submitted and is not reflected on the current total.</span></strong></p>
</div> </div></li><li class="form-line" id="id_124"><div class="form-label-top" id="label_124"><label for="input_124"> Total </label></div><div id="cid_124" class="form-input-wide"> <div id="total_amount">$85.00 </div><br /><div class="clearfix form-single-column top_padding" id="payformWrapper"><label class="form-header form-label-left">I would like to pay today:</label><span class="form-radio-item"><label><input type="radio" class="form-radio validate[partialPayment]" value="full" name="partial" checked="checked" id="input_partial_1" />Full amount</label></span><span class="form-radio-item"><input type="radio" class="form-radio validate[partialPayment]" value="minimum" name="partial" id="input_partial_2" /><label for="input_partial_2"><span>$<span id="payformMin">235.00</span>  minimum</span></label></span><span class="form-radio-item"><label><input type="radio" class="form-other form-radio validate[partialPayment]" value="custom" name="partial" id="other_partial" />$<input type="text" onclick="document.getElementById('other_partial').checked = true" class="form-radio-other-input validate[customPartial]" id="input_partial" name="partialamount" data-otherhint="Other" onkeypress="validateNumber(event)" /> </label></span></div> </div></li><li class="form-line" id="id_46"><div class="form-label-top" id="label_46"><label for="input_46"> Payment<span class="form-required">*</span> </label><label class="label-message" for="input_46"> </label></div><div id="cid_46" class="form-input-wide"> <table summary="" class="form-address-table" border="0" cellpadding="0" cellspacing="0"><tbody><tr><td colspan="2" class="form-payment-methods form-multiple-column"></td></tr><tr class="credit_card "><th colspan="2">Credit Card</th></tr><tr class="credit_card "><td colspan="2" style="padding:0"><table cellpadding="0" cellspacing="0"><tbody><tr><td colspan="2"><span class="form-sub-label-container">  <label class="form-sub-label">We accept Visa, MasterCard, American Express, Discover</label></span><div class="cc-icons"><div class="cc-icon visa-icon"></div><div class="cc-icon mastercard-icon"></div><div class="cc-icon amex-icon"></div><div class="cc-icon discover-icon"></div></div><input type="hidden" name="q46_payment[cc_type]" id="input_46_cc_type" value="" /></td></tr><tr><td><div class="cc-field-wrapper"><span class="form-sub-label-container"><input class="form-textbox form-creditcard js-cc-number validate[required, visible, creditcard]" type="text" name="q46_payment[cc_number]" id="input_46_cc_number" autocomplete="cc-number" size="20" />  <label class="form-sub-label" for="input_46_cc_number" id="sublabel_cc_number">Credit Card Number</label></span></div></td><td class="cc_ccv "><span class="form-sub-label-container"><input class="form-textbox validate[required, visible]" type="text" name="q46_payment[cc_ccv]" id="input_46_cc_ccv" autocomplete="cc-csc" size="6" />  <label class="form-sub-label" for="input_46_cc_ccv" id="sublabel_cc_ccv">Security Code</label></span></td></tr><tr><td colspan="2" class="cc_name_on_card "><span class="form-sub-label-container"><input class="form-textbox validate[required, visible]" type="text" name="q46_payment[cc_nameOnCard]" id="input_46_cc_nameOnCard" autocomplete="cc-name" size="33" />  <label class="form-sub-label" for="input_46_cc_nameOnCard" id="sublabel_cc_nameOnCard">Name on Card</label></span></td></tr><tr class="credit_card "><td colspan=""><span class="form-sub-label-container"><select class="form-textbox validate[required, visible]" name="q46_payment[cc_exp_month]" id="input_46_cc_exp_month" autocomplete="cc-exp-month"><option></option><option value="1">1 - January</option><option value="2">2 - February</option><option value="3">3 - March</option><option value="4">4 - April</option><option value="5">5 - May</option><option value="6">6 - June</option><option value="7">7 - July</option><option value="8">8 - August</option><option value="9">9 - September</option><option value="10">10 - October</option><option value="11">11 - November</option><option value="12">12 - December</option></select>  <label class="form-sub-label" for="input_46_cc_exp_month" id="sublabel_cc_exp_month">Expiration Month</label></span></td><td><span class="form-sub-label-container"><select class="form-textbox validate[required, visible]" name="q46_payment[cc_exp_year]" id="input_46_cc_exp_year" autocomplete="cc-exp-year"><option></option><option value="2026">2026</option><option value="2027">2027</option><option value="2028">2028</option><option value="2029">2029</option><option value="2030">2030</option><option value="2031">2031</option><option value="2032">2032</option><option value="2033">2033</option><option value="2034">2034</option><option value="2035">2035</option></select>  <label class="form-sub-label" for="input_46_cc_exp_year" id="sublabel_cc_exp_year">Expiration Year</label></span></td></tr></tbody></table></td></tr><tr class="billing_address "><th colspan="2">Billing Address</th></tr><tr class="billing_address "><td colspan="2"><span class="form-sub-label-container"><input class="form-textbox validate[required] form-address-line" type="text" name="q46_payment[addr_line1]" id="input_46_addr_line1" autocomplete="billing address-line1" />  <label class="form-sub-label" for="input_46_addr_line1" id="sublabel_46_addr_line1">Street Address</label></span></td></tr><tr class="billing_address "><td width="50%"><span class="form-sub-label-container"><input class="form-textbox validate[required] form-address-city" type="text" name="q46_payment[city]" id="input_46_city" autocomplete="billing address-level2" />  <label class="form-sub-label" for="input_46_city" id="sublabel_46_city">City</label></span></td><td><span class="form-sub-label-container"><input class="form-textbox validate[required] form-address-state" type="text" name="q46_payment[state]" id="input_46_state" autocomplete="billing address-level1" />  <label class="form-sub-label" for="input_46_state" id="sublabel_46_state">State / Province</label></span></td></tr><tr class="billing_address "><td width="50%"><span class="form-sub-label-container"><input class="form-textbox validate[required] form-address-postal" type="text" name="q46_payment[postal]" id="input_46_postal" size="10" autocomplete="billing postal-code" />  <label class="form-sub-label" for="input_46_postal" id="sublabel_46_postal">Postal / Zip Code</label></span></td><td><span class="form-sub-label-container"><select class="form-dropdown validate[required] form-address-country" name="q46_payment[country]" id="input_46_country" autocomplete="billing country-name"><option value="" selected="selected">Please Select</option><option value="United States">United States</option><option value="Afghanistan">Afghanistan</option><option value="Albania">Albania</option><option value="Algeria">Algeria</option><option value="American Samoa">American Samoa</option><option value="Andorra">Andorra</option><option value="Angola">Angola</option><option value="Anguilla">Anguilla</option><option value="Antigua and Barbuda">Antigua and Barbuda</option><option value="Argentina">Argentina</option><option value="Armenia">Armenia</option><option value="Aruba">Aruba</option><option value="Australia">Australia</option><option value="Austria">Austria</option><option value="Azerbaijan">Azerbaijan</option><option value="The Bahamas">The Bahamas</option><option value="Bahrain">Bahrain</option><option value="Bangladesh">Bangladesh</option><option value="Barbados">Barbados</option><option value="Belarus">Belarus</option><option value="Belgium">Belgium</option><option value="Belize">Belize</option><option value="Benin">Benin</option><option value="Bermuda">Bermuda</option><option value="Bhutan">Bhutan</option><option value="Bolivia">Bolivia</option><option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option><option value="Botswana">Botswana</option><option value="Brazil">Brazil</option><option value="Brunei">Brunei</option><option value="Bulgaria">Bulgaria</option><option value="Burkina Faso">Burkina Faso</option><option value="Burundi">Burundi</option><option value="Cambodia">Cambodia</option><option value="Cameroon">Cameroon</option><option value="Canada">Canada</option><option value="Cape Verde">Cape Verde</option><option value="Cayman Islands">Cayman Islands</option><option value="Central African Republic">Central African Republic</option><option value="Chad">Chad</option><option value="Chile">Chile</option><option value="People's Republic of China">People's Republic of China</option><option value="Republic of China">Republic of China</option><option value="Christmas Island">Christmas Island</option><option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option><option value="Colombia">Colombia</option><option value="Comoros">Comoros</option><option value="Congo">Congo</option><option value="Cook Islands">Cook Islands</option><option value="Costa Rica">Costa Rica</option><option value="Cote d'Ivoire">Cote d'Ivoire</option><option value="Croatia">Croatia</option><option value="Cuba">Cuba</option><option value="Cyprus">Cyprus</option><option value="Czech Republic">Czech Republic</option><option value="Denmark">Denmark</option><option value="Djibouti">Djibouti</option><option value="Dominica">Dominica</option><option value="Dominican Republic">Dominican Republic</option><option value="Ecuador">Ecuador</option><option value="Egypt">Egypt</option><option value="El Salvador">El Salvador</option><option value="Equatorial Guinea">Equatorial Guinea</option><option value="Eritrea">Eritrea</option><option value="Estonia">Estonia</option><option value="Eswatini">Eswatini</option><option value="Ethiopia">Ethiopia</option><option value="Falkland Islands">Falkland Islands</option><option value="Faroe Islands">Faroe Islands</option><option value="Fiji">Fiji</option><option value="Finland">Finland</option><option value="France">France</option><option 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