Summer Activities Registration 2019

All bookings received on or before 28th June will be eligible for 10% discount.

Please fill in one form for each child.

Child's Full Name

First Name Last Name

Your E-mail Address

Your Mobile Phone Number

Boy/Girl

Boy Girl

Child's Date of Birth

Month Day Year

Home Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Which Camp?

Kiddie Camp Kool Kidz

Which Weeks? (please select even if you will attend on a daily basis)

Week 1 (29th July - 2nd August) Week 2 (5th August - 9th August) Week 3 (12th August - 15th August)

We might attend on a daily basis

Tick here

I am interested in Early/Late drop-off (This provision will depend on sufficient demand)

Early drop-off Late pick-up

It is the policy of Chabad Lubavitch that no child is refused admission for financial reasons. Please feel free to discuss this in full confidentiality with anyone from Chabad Lubavitch.

Thank you for your booking. Please submit this form and proceed to PayPal to pay the £10 deposit.

Please fill in a separate form for each child.

We will be in touch with you at a later date.

For any queries call 07814 856 360 or email [email protected]