Senior Winter Camp: Machane Technologia 2015
HABONIM DROR AOTEAROA NEW ZEALAND - Senior Winter Camp Registration

DATE: SUNDAY 5th - 12th JULY 2015

Early bird and standard fees have now ended.

LATE FEE - REGISTRATION AND PAYMENT AFTER 12th JUNE $580

We ask you take the time to complete this form 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 please contact Rosh Machane, Barak Abitbol, 021 061 9049 or seniorwintercamp@habo.co.nz

First Name
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Last Name
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Date of birth
DD/MM/YYYY
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Chanich's Email
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Family email
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Chanich's Cell Phone
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Family contact phone number
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Parent Cell Phone
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Street Name and Number
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Suburb
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City
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Alternative Emergency Contact Name
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Alternative Emergency Contact Number
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Habo group 2014
Tetanus and Immunisations
Allergies
If none please put none
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Medication (must be brought to camp)
If none please put none
Your answer
Other – please specify, e.g. dietary requirements
If none please put none
Your answer
City travelling from (before camp)
In order to ensure our travel costs are met, registration after the 1st of May, and then the 12th of June will incur late fees.
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City traveling to (after camp)
If at any stage you change your mind about travel plans after camp and Habonim has already booked travel to the original city, you will be expected to cover these new costs.
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Payment (STANDARD FEE)
This camp cost covers transport, food and activities over the week. Please get in touch with our gizbarit (treasurer) on gizbarut@habo.co.nz if you wish to arrange a payment plan to suit your family's needs. WARNING: Kids signing up after May 15th may incur additional fees due to increased transport costs from signing up late.
Scholarship Fund
The mission of Habonim Dror is to provide a Jewish educational experience to children. As such, it is our belief that financial obstacles should be eliminated to ensure that every child who is eligible can take part in this life changing program. Only through your support is this possible.
DISCLAIMER and WAIVER OF LIABILITY
Please tick the boxes to indicate that you have read it and are in agreement with it.
Required
Additional information
Please feel free to add anything you feel it is important for Habonim Dror to know about your family or your child in regards to this camp.
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Preferred Payment Method
If you are hesitant in sending your child to a camp due to financial reasons, you may be eligible for our subsidy fund. Please contact our gizbarit (treasurer) Avigal Kazula gizbarut@habo.co.nz to apply for this subsidy. All enquiries and/or applications will be treated with the utmost of confidentiality.
Camp Rules to be read and signed by the chanich - please sign with your name and the date
- No illegal substances - No weapons, including pocket knives - No cellphones or video games during activities - No bullying - No antisocial behaviour - No leaving the camp without permission. I have read the rules for Habonim Dror Senior Winter Camp, and agree to abide by them.
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Please sign the disclaimer and waive of liability with your name and the date.
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