volunteering in Israel | summer camp in Israel | מחנה הנני בערד | מחנה קיץ | התנדבות

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Camp Team
camp

Full Name: *

ID/Passport *

Full address & Postal code *

Home phone *

Camper's mobile phone:

e-mail

facebook address:

Home e-mail

School:

Entering grade

Birthday

Medical Insurance nummber:

Medical Insurance company:

Father's Name:

Father's work phone

Father's cell phone:

Mother's name:

Mother's work phone:

Mother's xell phone:

I am interested in transport to and from the camp


girls I would like to share the room with we will make sure


1.

2.

3.


Leadership and Social Awareness Action Programme


Day Camp ages 4-5

Day Camp ages Grade 1- Grade 5

Ethiopian Day Camp:

Elderly

Teaching New Immigrants

Special Needs

Elderly with Special Needs

How long?

Method of Payment