Machane Simcha
HABONIM DROR AOTEAROA NEW ZEALAND - MACHANE KAITZ 2017 REGISTRATION FORM

LATE FEES Apply

LATE FEES (Years 6-13): $610 (Years 4-5): $250 (for registration after 14th of December)

We ask you take the time to complete it in full to enable us to take the best care of your children. Feel free to add any additional information. If you have any questions about this feel free to contact Rosh Machane Perry Wilton at roshmachane@habo.co.nz or 021 234 0237

A separate form is required for EACH child.


CAMP DATES:

Full summer camp: 8th-18th of JANUARY 2017 for school years 6-13.

Weekend camp: 13th-15th of JANUARY 2017 for school years 4-5.

Visitor's Day: Sunday January 15th 2016

Child's Details
First name/s
Your answer
Last Name/s
Your answer
Email
Your answer
DOB
MM
/
DD
/
YYYY
Cellphone
Your answer
Habo Shichva
School year during 2016
T-shirt size
Tetanus
Allergies
Your answer
Medication (must be brought on camp)
Your answer
Other (medical)
E.g. dietary requirements
Your answer
Other (social) - please specify
In order to ensure your child has the best possible experience please let us know if your child has any specific needs that we should keep in mind while caring for them. E.g. dyslexia, mild attention disorders, emotional sensitivity to specific situations.
Your answer
City travelling from (before camp)
Habo has secured a good deal for transport of chanichim to and from camp, however these tickets must be paid for in advance. The extra costs you will incur if you register late are simply due to the fact that it costs us more to try accommodate extra chanichim with pre-booked buses and flights.
Your answer
City traveling to (after camp)
Your answer
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