2026 Camp Gan Shalom Camper Registration Form

This year, all families - including those requesting scholarship consideration - must register online. Families requesting scholarship consideration based on financial circumstances or impacts related to the Eaton Fire should complete the online registration and select "Request a Scholarship Application" at the end of the form.

Please check the session(s) that the camper will be attending:

Pasadena
NEW LOCATION

Pomona

Multiple Week Discount: If your child is attending more than one week of camp, you will receive a discount. Please type the number of weeks your child is attending into the corresponding box to get the discount. Please make sure to pick the correct box, corresponding to the number of weeks your child is attending. Please note that we apply the multiple-week discounts per camper. If you have any questions, feel free to contact our office at 626.445.0810

After-camp care

If you are registering multiple campers, please complete the following section; otherwise, skip to Parent or Guardian Information.

PLEASE MAKE SURE TO SELECT THE WEEK(S) FOR EACH CAMPER, SO THE TOTAL CAN BE CALCULATED CORRECTLY.

Please check the session(s) that each camper will be attending:

NEW LOCATION
Pasadena

Pomona

Multiple Week Discount: If your child is attending more than one week of camp, you will receive a discount. Please type the number of weeks your child is attending into the corresponding box to get the discount. Please make sure to pick the correct box, corresponding to the number of weeks your child is attending. Please note that we apply the multiple-week discounts per camper. If you have any questions, feel free to contact our office at 626.445.0810

After-camp Care

Consider making a 100% tax-deductible gift to the Jewish Federation of the Greater San Gabriel and Pomona Valleys

The Jewish Federation of the Greater San Gabriel and Pomona Valleys focuses its energies on building a community that takes pride in strengthening and enhancing Jewish life in our community. Our Jewish Federation sponsors and facilitates programs throughout the year that: gives people a sense of pride in their Judaism; brings Jews from across the greater San Gabriel and Pomona Valleys together for Jewish events and causes; serves as a voice to the broader community; and much more. Your donation will greatly assist us in making all this possible in and for our community.

1. I hereby enroll my child in Camp Gan Shalom, the Jewish Federation of the Greater San Gabriel and Pomona Valleys summer day camp program, and agree to pay the established fee for my child's session(s).

2. The applicant and camper agree to abide by the camp's policies and regulations. Camp Gan Shalom reserves the right to reject any application, dismiss any camper for not conforming thereto, or cancel any program due to insufficient registration. If the camper withdraws or is sent home during the summer, there shall be no refund of fees.

3. The camp does not assume responsibility for loss or damage to baggage or personal belongings during the period a camper is at camp. The applicant and camper agree to reimburse the camp for any unforeseen expenses the camp incurs on the camper's behalf (special supplies or emergency expenses, etc.).

4. Before the start of their camp session, all parents/guardians of campers must submit written verification of the camper's good health and suitability to participate in the programs selected.

5. The undersigned consents to the use of the camper's name, photograph, or other identification by the Jewish Federation, in connection with the camp's or Federation's programs, exchanges, or publicity.

6. I hereby certify that all information given is true and correct, and I agree to all the agreement provisions.

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. ACCORDINGLY, THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

For families requesting scholarship consideration, a 5% deposit of the total camp fees is required at the time of registration. This amount will be applied to your balance or refunded once the scholarship application has been reviewed and approved.

Questions? Please call 626.445.0810 or email [email protected].