Dare2Care Registration 2019

Full price is £120 for the week. All bookings received on or before 15th July will be eligible for the discount price of £100.

Please fill in one form for each child.

Teen's Full Name

First NameLast Name

Parent E-mail Address

Parent Mobile Phone Number

Please confirm you agree to be added to WhatsApp Group for communication

I agree

Teen's Date of Birth

MonthDayYear

Home Address

Which Camp?

Boys' Dare-2-Care: 16th August - 20th AugustGirls' Dare-2-Care: 23rd August - 27th August

Please inform of any allergies:

Emergency Contact Information - if different to Parent's information above

Full Name

First NameLast Name

Address

Emergency Phone Number

Area CodePhone Number

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.

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Please submit this form and then proceed to pay the £10 deposit

or BACS: Lubavitch (UK) Ltd; Account 26194002; Sort Code 40-51-62.

Please fill in a separate form for each child.

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

For any queries call 07388 907 701 or email [email protected]

Thank you for your booking.