Machane Rav Goni 2019
HABONIM DROR AOTEAROA NEW ZEALAND - MACHANE KAITZ 2019 REGISTRATION FORM

FEES (Year 6-13): $620.00 (Years 4-5): $270.00

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 additional information. If you have an questions feel free to contact Rosh Machane Nastassia Pearce-Bernie at roshmachane@habo.co.nz or 0211490546, or Sgan Rosh Machane Ari Danin on 0276072449.

A seperate form is required for EACH child.

CAMP DATES:

Full summer camp: 6-16 JANUARY 2019 for school years 6-11.

Bonim: 4-16 January 2019 for school years 12-13.

Weekend camp: 11-13 JANUARY 2019 for school years 4-5.

Visitor's Day: Sunday 13 January 2019.

Child's Details
Your answer
First Name/s *
Your answer
Last Name/s *
Your answer
Email *
Your answer
DOB *
MM
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DD
/
YYYY
Cellphone *
Your answer
Habonim Dror Shichvah *
Tetanus *
Allergies *
If NONE then please specify.
Your answer
Medication (must be brought on camp) *
Your answer
Other (Medical) *
E.g. dietary requirments
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 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) *
Habonim Dror Aotearoa New Zealand has secured a good deal for transport of chanichim to and from camp, however these tickets must be paid in advance. The extra costs you will incur if you register late are simply due to the fat that it costs us more to try accommodate extra chanichim with pre-booked buses and flights.
Your answer
City travelling to (after camp) *
Your answer
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