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2026 Day Camp Application Form

Young Israel of Staten IslandYouth2026 Day Camp Application Form
2026 Day Camp Application Form admin March 17, 2026 March 19, 2026
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Camper Application
  • Please fill out one application per child.
  • Camp will be in session Wednesday June 24 - Wednesday August 19 (No Camp July 23/9 Av)
  • First Session June 24 - July 22
  • Second Session July 23 - August 19
  • Mini Gan YISI is for children entering 3k-4k in September 2026 (MUST be toilet trained)
  • Gan YISI is for children entering Pre 1A - 3rd Grade in September 2026
  • Fees for Member Families enrolling in Mini Gan YISI & Gan YISI
    • Full Summer Season $2200
    • One Session $1250
  • Fees for Non-Member Families enrolling in Mini Gan YISI & Gan YISI
    • Full Summer Season $2500
    • One Session $1400
  • We are excited about our enhanced CIT program for children entering Grade 4+.
  • Fees for CIT program Member Families
    • Full Summer Season $2400
    • One Session $1300
  • Fees for CIT program Non-Member Families
    • Full Summer Season $2600
    • One Session $1450
  • Please email office@yisi.org to inquire about becoming a member family today!
  • A $100 sibling discount will apply to non-member enrollments of two full summer sessions.
  • A $100 late fee will be applied to all registration made after May 26.
  • Information about camp lunch will be sent out soon IYH.
  • Please reach out to daycamp@yisi.org with any questions.

1. Child/ren’s Information

  • XS
  • S
  • M
  • L
  • XL
  • Adult M
  • Yes
  • No

2. Parent information

United States
  • United States
  • Afghanistan
  • Albania
  • Algeria
  • American Samoa
  • Andorra
  • Angola
  • Anguilla
  • Antigua and Barbuda
  • Argentina
  • Armenia
  • Aruba
  • Australia
  • Austria
  • Azerbaijan
  • The Bahamas
  • Bahrain
  • Bangladesh
  • Barbados
  • Belarus
  • Belgium
  • Belize
  • Benin
  • Bermuda
  • Bhutan
  • Bolivia
  • Bosnia and Herzegovina
  • Botswana
  • Brazil
  • Brunei
  • Bulgaria
  • Burkina Faso
  • Burundi
  • Cambodia
  • Cameroon
  • Canada
  • Cape Verde
  • Cayman Islands
  • Central African Republic
  • Chad
  • Chile
  • People's Republic of China
  • Republic of China
  • Christmas Island
  • Cocos (Keeling) Islands
  • Colombia
  • Comoros
  • Congo
  • Cook Islands
  • Costa Rica
  • Cote d'Ivoire
  • Croatia
  • Cuba
  • Cyprus
  • Czech Republic
  • Denmark
  • Djibouti
  • Dominica
  • Dominican Republic
  • Ecuador
  • Egypt
  • El Salvador
  • Equatorial Guinea
  • Eritrea
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  • Ethiopia
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  • Fiji
  • Finland
  • France
  • French Polynesia
  • Gabon
  • The Gambia
  • Georgia
  • Germany
  • Ghana
  • Gibraltar
  • Greece
  • Greenland
  • Grenada
  • Guadeloupe
  • Guam
  • Guatemala
  • Guernsey
  • Guinea
  • Guinea-Bissau
  • Guyana
  • Haiti
  • Honduras
  • Hong Kong
  • Hungary
  • Iceland
  • India
  • Indonesia
  • Iran
  • Iraq
  • Ireland
  • Israel
  • Italy
  • Jamaica
  • Japan
  • Jersey
  • Jordan
  • Kazakhstan
  • Kenya
  • Kiribati
  • North Korea
  • South Korea
  • Kosovo
  • Kuwait
  • Kyrgyzstan
  • Laos
  • Latvia
  • Lebanon
  • Lesotho
  • Liberia
  • Libya
  • Liechtenstein
  • Lithuania
  • Luxembourg
  • Macau
  • Macedonia
  • Madagascar
  • Malawi
  • Malaysia
  • Maldives
  • Mali
  • Malta
  • Marshall Islands
  • Martinique
  • Mauritania
  • Mauritius
  • Mayotte
  • Mexico
  • Micronesia
  • Moldova
  • Monaco
  • Mongolia
  • Montenegro
  • Montserrat
  • Morocco
  • Mozambique
  • Myanmar
  • Namibia
  • Nauru
  • Nepal
  • Netherlands
  • New Caledonia
  • New Zealand
  • Nicaragua
  • Niger
  • Nigeria
  • Niue
  • Norfolk Island
  • Northern Mariana
  • Norway
  • Oman
  • Pakistan
  • Palau
  • Panama
  • Papua New Guinea
  • Paraguay
  • Peru
  • Philippines
  • Pitcairn Islands
  • Poland
  • Portugal
  • Puerto Rico
  • Qatar
  • Romania
  • Russia
  • Rwanda
  • Saint Barthelemy
  • Saint Helena
  • Saint Kitts and Nevis
  • Saint Lucia
  • Saint Martin
  • Saint Pierre and Miquelon
  • Saint Vincent and the Grenadines
  • Samoa
  • San Marino
  • Sao Tome and Principe
  • Saudi Arabia
  • Senegal
  • Serbia
  • Seychelles
  • Sierra Leone
  • Singapore
  • Slovakia
  • Slovenia
  • Solomon Islands
  • Somalia
  • Somaliland
  • South Africa
  • South Ossetia
  • Spain
  • Sri Lanka
  • Sudan
  • Suriname
  • Svalbard
  • Sweden
  • Switzerland
  • Syria
  • Taiwan
  • Tajikistan
  • Tanzania
  • Thailand
  • Timor-Leste
  • Togo
  • Tokelau
  • Tonga
  • Trinidad and Tobago
  • Tristan da Cunha
  • Tunisia
  • Turkey
  • Turkmenistan
  • Turks and Caicos Islands
  • Tuvalu
  • Uganda
  • Ukraine
  • United Arab Emirates
  • United Kingdom
  • Uruguay
  • Uzbekistan
  • Vanuatu
  • Vatican City
  • Venezuela
  • Vietnam
  • British Virgin Islands
  • US Virgin Islands
  • Wallis and Futuna
  • Western Sahara
  • Yemen
  • Zambia
  • Zimbabwe
  • Other

Mother information

Father information

  • Married
  • Single
  • Divorced/Separated
  • Mailer
  • Email
  • Facebook
  • Newspaper Ad
  • Internet Search
  • Attended Previously
  • Other

3. Emergency & Special Needs Information

In order to create an effective and positive camp environment for everyone, please provide the following information for your child. All information will be handled with care and held in confidence

Please email your child's IEP or 504 to the camp office

4. Payment Information

A 25% deposit is required at registration. All balances must be paid in full by 6/19. The camp office will be reaching out shortly after registraiton with an invoice and to set up a payment plan for any balances due.
Credit Card
  • Credit Card
  • Zelle
Total Amount (Includes Credit Card Processing Fee): $
 
Total Amount (Includes Credit Card Processing Fee): $
 
(The remaining amount will be charged in 3 recurring payments of $
 
each in next 3 months)
Credit Card
We accept Visa, MasterCard, American Express, Discover
Please note a 3.5% service charge will be applied to all credit card payments.
Please send your payment to: Finances@yisi.org. Include your full name and write “Day Camp Registration 2026” in the Zelle memo. Your registration will be completed once payment is received.
Total Amount: $
 
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Billing Address
United States
  • United States
  • Afghanistan
  • Albania
  • Algeria
  • American Samoa
  • Andorra
  • Angola
  • Anguilla
  • Antigua and Barbuda
  • Argentina
  • Armenia
  • Aruba
  • Australia
  • Austria
  • Azerbaijan
  • The Bahamas
  • Bahrain
  • Bangladesh
  • Barbados
  • Belarus
  • Belgium
  • Belize
  • Benin
  • Bermuda
  • Bhutan
  • Bolivia
  • Bosnia and Herzegovina
  • Botswana
  • Brazil
  • Brunei
  • Bulgaria
  • Burkina Faso
  • Burundi
  • Cambodia
  • Cameroon
  • Canada
  • Cape Verde
  • Cayman Islands
  • Central African Republic
  • Chad
  • Chile
  • People's Republic of China
  • Republic of China
  • Christmas Island
  • Cocos (Keeling) Islands
  • Colombia
  • Comoros
  • Congo
  • Cook Islands
  • Costa Rica
  • Cote d'Ivoire
  • Croatia
  • Cuba
  • Cyprus
  • Czech Republic
  • Denmark
  • Djibouti
  • Dominica
  • Dominican Republic
  • Ecuador
  • Egypt
  • El Salvador
  • Equatorial Guinea
  • Eritrea
  • Estonia
  • Eswatini
  • Ethiopia
  • Falkland Islands
  • Faroe Islands
  • Fiji
  • Finland
  • France
  • French Polynesia
  • Gabon
  • The Gambia
  • Georgia
  • Germany
  • Ghana
  • Gibraltar
  • Greece
  • Greenland
  • Grenada
  • Guadeloupe
  • Guam
  • Guatemala
  • Guernsey
  • Guinea
  • Guinea-Bissau
  • Guyana
  • Haiti
  • Honduras
  • Hong Kong
  • Hungary
  • Iceland
  • India
  • Indonesia
  • Iran
  • Iraq
  • Ireland
  • Israel
  • Italy
  • Jamaica
  • Japan
  • Jersey
  • Jordan
  • Kazakhstan
  • Kenya
  • Kiribati
  • North Korea
  • South Korea
  • Kosovo
  • Kuwait
  • Kyrgyzstan
  • Laos
  • Latvia
  • Lebanon
  • Lesotho
  • Liberia
  • Libya
  • Liechtenstein
  • Lithuania
  • Luxembourg
  • Macau
  • Macedonia
  • Madagascar
  • Malawi
  • Malaysia
  • Maldives
  • Mali
  • Malta
  • Marshall Islands
  • Martinique
  • Mauritania
  • Mauritius
  • Mayotte
  • Mexico
  • Micronesia
  • Moldova
  • Monaco
  • Mongolia
  • Montenegro
  • Montserrat
  • Morocco
  • Mozambique
  • Myanmar
  • Namibia
  • Nauru
  • Nepal
  • Netherlands
  • New Caledonia
  • New Zealand
  • Nicaragua
  • Niger
  • Nigeria
  • Niue
  • Norfolk Island
  • Northern Mariana
  • Norway
  • Oman
  • Pakistan
  • Palau
  • Panama
  • Papua New Guinea
  • Paraguay
  • Peru
  • Philippines
  • Pitcairn Islands
  • Poland
  • Portugal
  • Puerto Rico
  • Qatar
  • Romania
  • Russia
  • Rwanda
  • Saint Barthelemy
  • Saint Helena
  • Saint Kitts and Nevis
  • Saint Lucia
  • Saint Martin
  • Saint Pierre and Miquelon
  • Saint Vincent and the Grenadines
  • Samoa
  • San Marino
  • Sao Tome and Principe
  • Saudi Arabia
  • Senegal
  • Serbia
  • Seychelles
  • Sierra Leone
  • Singapore
  • Slovakia
  • Slovenia
  • Solomon Islands
  • Somalia
  • Somaliland
  • South Africa
  • South Ossetia
  • Spain
  • Sri Lanka
  • Sudan
  • Suriname
  • Svalbard
  • Sweden
  • Switzerland
  • Syria
  • Taiwan
  • Tajikistan
  • Tanzania
  • Thailand
  • Timor-Leste
  • Togo
  • Tokelau
  • Tonga
  • Trinidad and Tobago
  • Tristan da Cunha
  • Tunisia
  • Turkey
  • Turkmenistan
  • Turks and Caicos Islands
  • Tuvalu
  • Uganda
  • Ukraine
  • United Arab Emirates
  • United Kingdom
  • Uruguay
  • Uzbekistan
  • Vanuatu
  • Vatican City
  • Venezuela
  • Vietnam
  • British Virgin Islands
  • US Virgin Islands
  • Wallis and Futuna
  • Western Sahara
  • Yemen
  • Zambia
  • Zimbabwe
  • Other

Please contact the Camp office for special requests.

  • I grant permission for my child to participate in all camp activities, including swimming and trips away from camp grounds (dates and destinations to be provided at a later date).
  • I understand that if my application is not filled out completely or the required payments are not enclosed, my application will not be processed and will be returned.
  • I agree to disclose any behavioral help my child receives during the school year, to ensure that Camp has the ability to accommodate my child's needs.
  • I agree that my child may be photographed, and their pictures may be used in future camp promotional materials, including, but not limited to the brochure and the Gan YISI website.
  • No camper will be permitted into camp without all forms completed (including medical and application) and all financial obligations satisfied.
  • Gan YISI is not responsible for personal property brought to camp.
  • If the Camper’s conduct is harmful to the best interests of Gan YISI Day Camp, the Camper may be dismissed at the sole discretion of the Director with no refund nor reduction of fee.
  • I will settle my financial obligations to camp before camp starts.
 
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