טופס הרשמה

דף הבית >> טופס הרשמה
Camp Gan Izzy 
Permission Slip 
Dear Parents 
Please sign the following permission slip.  
Failure to sign will mean that your child will not be able to attend any activities at the Jacob Ballas Center premises.
 
If you have any questions please feel free to email us at      camp@jwb.org.sg
-------------------------------------------------------------
 
I give permission for my child ___________________ to:
Attend the Summer Camp Program taking place at the Jacob Ballas Center 24 Waterloo street Singapore.
Go on camp related field trips and travel by mini-van/bus which will be equipped with seat belts.
 
I give my permission to the adults and staff of the Gan Israel camp to get my child medically treated if it is needed for any reason.
 
 
Parent’s name
Last Name___________First___________Middle______________
 
 
Address:____________________________________(S)_________
 
Telephone (H)________________ (HP)____________________
 
Email: _______________________________________________
 
 
 
 
 
Signature   Date: (dd/mm/yyyy)
 
 
 
Camp Gan Izzy 2016
Registration Form
 
Camper’s name Age M/F D.O.B (dd/mm/yyyy) IC/Passport No.
 
 
 
 
Emergency Contact Information
 
Name_________________ Relationship_____________ Phone No.________________
 
Attending (tick all that apply) 
Entire camp___ / days:___________________________Allergies________________
(Price for entire camp is $250, and $70 on a daily basis/
 Late registration fee after June 1st: for entire camp 300$, and 80$ on a daily basis)
 
Payment Of Total Fees (Refunds are ONLY given if the camp is cancelled)
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
_______________________________________________________
Office Use Only:
 
 
 
לייבסיטי - בניית אתרים