HOME ABOUT US ASK THE RABBI SUBSCRIBE CONTACT US
Chabad Lubavitch of Brighton
LubavitchBrighton.com » Camp Gan Israel » Registration Form - 2010/5770

PrintSend this page to a friendShare this

CGI Homepage Camp Information Online Registration 
Pay Online About Gan Israel Kids Favourite Recipes Camp Photo Album

Registration Form - Camp Gan Israel 2010/5770

Monday 16th August - Friday 20th August 2010
Camper Information
Surname Forname(s) Hebrew Name
 School entering in Sept. 2008
Entering Year/Class
 		 Gender
Date of Birth
Age 

Contact Information
 Address
City
 

 Region                   Postcode
  

 Home Phone
 Camper's Email Address

Parent/Carer Information
 Father's Name
 Work Phone
 Mobile
Email Address
 Mother 's Name
 Work Phone
 Mobile
Email Address
 Carer 's Name
 Work Phone
 Mobile
Email Address

I understand that full terms and conditions will be included together with the medical form, which will be supplied upon receipt of this form and the payment of the non-refundable deposit of £30.00 per week per child.
I hereby assume responsibility of all camp fees.


 Full name of parent/Guardian
 Initials
 Date


Click here to be taken to our Paypal payment page.  

Please select if you prefer to pay by cash or cheque. 

AFTER MAKING YOUR PAYMENT, REMEMBER TO RETURN TO THIS PAGE AND CLICK SUBMIT TO COMPLETE THE REGISTRATION PROCESS.

PrintSend this page to a friendShare this
Chabad Lubavitch of Brighton • 15 The Upper Drive • Brighton, BN3 6GR • England • 01273-321-919

Powered by Chabad.org © 2001-2010 Chabad-Lubavitch Media Center. All rights reserved.
In everlasting memory of Rabbi Yosef Y. Kazen, pioneer of Torah, Judaism and Jewish information on the web

Kabbalat Shabbat Service

Upcoming Classes

Occasions Catering

Challah