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Dare-2-Care Registration 2021

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

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

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

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

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
either PayPal:paypal.me/leedslubavitch
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.
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