Gan Israel - Day camp Boys registration - Chabad Lubavitch of Cyprus

For an unforgetable summer experience:
Friends, fun, Sports, awesome activities and healthy kosher meals.
Gan Israel Day Camp for boys for 1 week from 29th June to 3rd July.
(Second week optional starts 6th July to 10th July)
PLEASE COMPLETE REGISTRATION.
Full Name*
First NameLast Name
Birth Date*
MonthDayYear
Full Name of brother
First NameLast Name
Birth Date of brother
MonthDayYear
E-mail*

Address*

Home Phone Number*
Area CodePhone Number
Emergency Phone Number*
Area CodePhone Number
Father's Name*
First NameLast Name
Mobile Number*
Area CodePhone Number
Mother's Name*
First NameLast Name
Mobile Number*
Area CodePhone Number
Does your child have any allergies or illnesses?*
Is there anything he cannot eat or drink?*
What is the child's first spoken language?*
Second language?
Any other useful information?
I agree that my son may attend all activities, including sports, games, trips, swimming etc:
Parents signature: ...............................................................................................................
Please sign and print.

Payment*

Credit Card

CVV Back of card*
Price per child € 126.00 .Special discount of five percent for 2 brothers.
€126 EUR€240 EUR
Second week price per child € 100.00 .Special discount of five percent for 2 brothers.
€100 EUR€180 EUR
Total
€0.00 EUR
Should be Empty:

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Gan Israel - Day camp Boys registration