Printed fromChabadAntwerp.org

ב"ה

Registration forms

Registration Summer Camp

Summer Camp - Gan Israel July 1-25 2025
Child's First and Last Name*
Address*
City*
Postcode*
Birth Date*

Month Day Year
Hebrew birth date
TIME OF BIRTH* In Judaism the day begins at nightfall, so in order to determine the exact date of your Jewish birthday we need to know what time of day you were born.
Class*
School*
Name of Mom*
Mother of child*

JewishNot Jewish
GSM*
E-mail*
Name of Dad/Other*
GSM*
My child will attend *

week 1week 2week 3week 4whole month
I have read and agree to camp policy* (below)*

I agree

Payment via

Credit Card Paypal Other

Payment/Donation via our bank account.

Name of account: Lubavitsch v.z.w.
Account number : BE24068907290638
BIC code : GKCCBEBB
* Day camp is for children from kt1 who are fully toilet trained.
* If you registered per week and later added a week, you pay the weekly price.
* Your spot is confirmed only after payment is received.
* Cancellation must be done a week in advance to receive a refund.
* I agree to cooperate with the camp staff and follow their instructions.
* I give permission for my child to participate in all camp activities.
* I agree that I will not hold the camp, its staff, management, or organizers responsible for any accidental injuries or damages that may occur (I acknowledge that these risks are inherent in any program involving physical activity or group interaction.)
* I have my own medical insurance and give consent to the provision of basic medical care for my child if necessary.
* I confirm that all the information provided in this form is true and accurate.
Should be Empty:

This page uses TLS encryption to keep your data secure.