Open Studio Masters Hanu-kaytanna
Please fill out a separate form for each child.

A special advanced program for ages 8-14
@The First Station, Jerusalem

5 day Camp: Tues-Thurs. Dec. 4-6 & Sun-Mon. Dec 9-10, 9:30-14:30
Early Drop-off (from 8:30) and Tzaharon (until 16:00)
Drop-In Art Workshops – Friday Dec 7, 10:00-14:00 & Afternoons 14:00-18:00
Tzaharon-only option - with 13:30 pick up from local schools

Your teens and tweens will create original works of art that they will be proud of in whatever medium they choose: Glass, Wax, Mosaics, Paint-Pouring, Fimo, Shrinky Dinks, Tye Dye & Recycled Art with Open Studio Founder Avigayle Adler

Younger children (5 and up) who want to join in are welcome, Age-appropriate activities, groups, and projects will be available! There is also a Tzaharon ONLY option including pick-up from local schools.

Prices:
5-day camp: 800nis
Daily: 240nis (Includes Tzaharon & Early Drop-off)
Tzaharon & Early Drop Off (14:00-16:00) – 200nis
Early Drop-off (8:30-9:30) – 100nis
Tzaharon ONLY - Includes pick up from local schools @13:30 and afternoon Open Studio (till 16:00) - 450nis (full week only)

Questions: Call Avigayle 054-626-8496

Details:
Snack will be provided. Children bring their own lunches.

שם פרטי של הילד Child's first name *
Your answer
Age - גיל *
Your answer
כיתה Grade in school
Your answer
Which school is your child in?
Your answer
Request to be in the same group with (child's name)
Your answer
Language (choose one) My child speaks
Parent's Name - שם ההורה *
Your answer
Family Name - שם משפחה *
Your answer
Mobile - נייד *
Your answer
email - דוא"ל *
Your answer
Choose as many as apply
School Pick up (if you are signing up for Tzaharon and want school pick up) indicate which school your child should be picked up from.
Column 1
Adam School
Efrata School
Yehuda HaLevy School
Other
Child's Teudat Zehut Number (or Passport if not Israeli) מספר תעודת זהות
Your answer
קופת חולים, שם הרופא ומספר טלפון *
Your answer
איש קשר למקרה חירום, קרבה לילד, מספר טלפון Emergency contact name, relationship to child and telephone *
Your answer
Any allergies, medical or emotional conditions that may impact your child's experience at camp? (please indicate problem and treatment, Epi Pen, etc.) *
Your answer
Payment Method - once we receive your registration we will email you an invoice with a payment link *
Waiver - My child has permission to participate in The Open Studio's activities, in and outside of the studio. My child is healthy and able to participate in the studio's activities. I understand that the Studio and its employees are not responsible for fees associated with the treatment and or transportation of my child in case of medical emergency. (Parent's initials and Teudat Zehut or Passport number). Camp fees are non-refundable. *
Your answer
Hanu-kaytanna 2015
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service