Senior Winter Camp: Machane Shivyon (Equality) sign up form!
HABONIM DROR AOTEAROA NEW ZEALAND - MACHANE SHIVYON (EQUALITY) 2017 REGISTRATION FORM

Standard fees apply. Standard fees need to be paid by 24th June.

Standard fee prices:
One child: $440
Two children: $790
Three children: $1250

CAMP DATES: Sunday 9th - Sunday 16th of July 2017 for school years 9-14 (first year out of high school).

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 Neveh Shimi at seniorwintercamp@habo.co.nz or 0212946805.

A separate form is required for EACH child.

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
Current school year during 2017
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)
The last date for us to book flights is the 9th June 2017 to ensure group bookings happen, if not chanich/a may be on a separate flight.
Your answer
City traveling to (after camp)
Your answer
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