Summer 2019 Kaytannot @The Open Studio
Please submit a separate form for each child. For all camp information, please see
www.openstudiojlem.com
. For questions, please call 054-626-8496 or email
openstudiojlem@gmail.com
.
Cancellation Policy:
For cancellation more than 2 full weeks before the start of the session, there is a fee of 400 NIS.
Cancellations 2 full weeks or less before the start of the session will not be refunded.
LOCATION UPDATE: Camp will be taking place Kehillat Mivahshe Derech, Shai Agnon 22 in the San Simone neighborhood of Jerusalem. Bus lines: 15 & 22. Nitzanim camps will be here unless otherwise noted below.
יש למלא טופס נפרד לכל ילד.
לשאלות נא להתקשר 054-626-8496 או לשלוח מייל לדוא"ל
openstudiojlem@gmail.com
l
לביטול יותר משבועיים לפני המחזור יש תשלום של 400 ש"ח. לביטול שבועיים או פחות לפני המחזור אין החזרים.
* Required
Child's first name (שם הילד (נא לכתוב באנגלית
*
Your answer
Child's Last Name שם המשפחה של הילד
*
Your answer
Gender מין
*
Male זכר
Female נקבה
Child's Teudat Zehut or foreign Passport No. - מס' תעודת זהות או מספר דרכון של הילד
Your answer
Personal Details פרטים אישיים
Choose Session(s) נא לבחור מחזורים
Pre-Camp: June 23-27th Passport Jerusalem 950 nis, Ages 4-9
Anafim Session 1: July 1-11 Glass, Paper & Fabric Arts
Anafim session 2: July 14-25 Architecture & Design
Anafim session 3: July 28-Aug 8 Underwater Worlds & Creative Creatures
Anafim session 4: August 11-22 Space & Mosaics
Shtilim session 2: July 14-25: Monster Camp & Around the World
Shtilim session 3: July 28-Aug 8: Underwater Worlds & Creative Creatures
Shtilim session 4: Aug 11-22: Space Camp & Little Chemists
Nitzanim July 7-11 Glass 1300
Nitzanim July 14-18 Photography 1100 nis
Nitzanim July 21-25 Metallurgy 1300 nis
Nitzanim July 28-Aug 1 Painting & Drawing 1100 nis
Nitzanim July 21-Aug 1 Carpentry (2 weeks) 2060 nis
Nitzanim Aug 4-8 Sewing 1100 nis
Nitzanim Aug 12-15 DIY 1100 nis
Please put my child in a group with the following campers (up to 2) נא להחביר את הילד שלי לקבוצה עם הילדים הבאים, עד 2 ילדים
*
Your answer
Camper's shirt size מידת חולצת-טי
*
8
12
16
Adult S
Adult M
Adult L
Adult XL
Child's Date of Birth - תאריך לידה
*
MM
/
DD
/
YYYY
Parent 1 הורה
*
Your answer
Parent 1's Phone מס' טלפון הורה 1
*
Your answer
הורה 2 - Parent 2
Your answer
Parent 2 phone - מספר טלפון להורה השני
*
Your answer
Parent's Email Address דואר אלקטרוני של ההורה
*
Your answer
Address כתובת
*
Your answer
Emergency Contact Name (other than parent)- שם איש קשר למצב חירום במקרה שההורים לא עונים
*
Your answer
Emergency Contact Phone - מס' טלפון לאיש קשר בחירום
*
Your answer
Family Doctor (name & phone) - רופא משפחה - שם ומס' טלפון
Your answer
Kupat Cholim - (Insurance company) קופת חולים
Your answer
Do you need early drop off (from 8:30)? האם הילד צריך להגיע מוקדם , 80₪ per week?
*
Choose
Yes
No
Do you need Tzaharon (Afternoon Program) 14:00-16:00, 150nis/week? ?האם תצטרכו צהרון לילד
*
Choose
Yes
No
Any known medical conditions, allergies, etc. - אלרגיות או בעיות בריאות - כמו סכרת וכד'
*
Your answer
Language - שפה
*
Speaks only English רק אנגלית
Speaks only Hebrew רק עברית
Speaks/understands both English & Hebrew גם עברית וגם אנגלית
Payment - תשלום . One your registration is received, we will send you an invoice via Email. International payments can be made by credit: Mastercard or American Express but incur an additional 5% charge. We will email you a link. Please note: the Early Bird Discount applies only if payment is made by June 16 (100 nis discount) הנחת הרשמה מוקדמת תינתן רק לתשלומים המתבצעים לפני 16.6.19
*
International Credit Card - Mastercard or Visa - Please send me a payment link
Israeli Credit Card
Bank Transfer
Discounts הנחות
*
)Multiple Sessions/Sibling (Select only after first sibling) אחים-רק לבחור ברישום אחרי הילד הראשון
Required
Camp Regulations תקנון הקייטנה
1. Campers are responsible for bringing lunch. Each morning, a different group will be preparing a healthy snack for the camp with the guidance of our educational chef. 2. Non-Kosher food may not be brought into the camp grounds. 3. We are making an effort this summer to avoid using single-use plastics in camp. We will email you more details about this before camp begins. Campers are expected to bring reusable water bottles and their lunches in backpacks & lunchboxes rather than plastic bags. Plastic utensils will not be provided. 4. Camp is authorized to use digital photography or video of your child on our website and for advertising purposes. If you do not allow this, please make it clear in your registration. 5. I hereby give permission for my child to leave Camp grounds for Camp programs.6. I hereby give permission for my child to participate in any and all camp activities. I fully understand that some of the activities may include certain risks.7. All campers are obligated to behave properly and with respect. 8. Campers clothing might get dirty and stained. 9. Private cell phones, tablets and other devices are not permitted to be used during the camp day. 10. Do not bring any cash or other valuables to camp. 11. Due to the recent measles outbreak, only vaccinated children will be permitted in camp.
*
Your answer
Parent Signature
Electronic Signature חתימה אלקטרונית
Please type name and Teudat Zehut or Foreign Passport No. נא למלות שם ומס' תעודת זהות
Your answer
Is there anything else you'd like us to know? יש עוד משהו להגיד לנו? ו
Your answer
A little bit about us... קצת על עצמנו
Submit
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