Camps
Svivot
Hachshara
Israel Machane
Education
Aliyah
Contact
Bachad
DONATE
LEGACY
Borehamwood Bnei Akiva Movie Night
Join us for Movie Night and Supper!!
Step
1
of
3
33%
Name (Primary Contact)
*
First
Last
Email
*
Primary Contact Phone (Mob.)
*
Children's Details
How many children are you booking for?
One
Two
Three
Four
Child 1
Child 1 Name
Date of Birth
DD slash MM slash YYYY
Shevet (Or school year if unkown)
Hachana Aleph (Year 3)
Hachana Bet (Year 4)
Zeraim (Year 5)
Nitzanim (Year 6)
Ma'alot (Year 7)
Ma'apilim (Year 8)
Haroeh (year 9)
Shevet X (year 10)
Any Allergies or Dietary Requirements?
Child 2
Child 2 Name
Date Of Birth
DD slash MM slash YYYY
Shevet (Or school year if unkown)
Hachana Aleph (Year 3)
Hachana Bet (Year 4)
Zeraim (Year 5)
Nitzanim (Year 6)
Ma'alot (Year 7)
Ma'apilim (Year 8)
Haroeh (year 9)
Shevet X (year 10)
Any Allergies or Dietary Requirements?
Child 3
Child 3 Name
Date of Birth
DD slash MM slash YYYY
Shevet (Or school year if unkown)
Hachana Aleph (Year 3)
Hachana Bet (Year 4)
Zeraim (Year 5)
Nitzanim (Year 6)
Ma'alot (Year 7)
Ma'apilim (Year 8)
Haroeh (year 9)
Shevet X (year 10)
Any Allergies or Dietary Requirements?
Child 4
Child 4 Name
Date of Birth
DD slash MM slash YYYY
Shevet (Or school year if unkown)
Hachana Aleph (Year 3)
Hachana Bet (Year 4)
Zeraim (Year 5)
Nitzanim (Year 6)
Ma'alot (Year 7)
Ma'apilim (Year 8)
Haroeh (year 9)
Shevet X (year 10)
Any Allergies or Dietary Requirements?
Payment
Borehamwood Movie Night
Borehamwood Movie Night x1 - £7.00
Borehamwood Movie Night
Borehamwood Movie Night x2 - £14.00
Multi-child discount
Borehamwood Movie Night
Borehamwood Movie Night x3 - £21.00
Multi-child discount
Borehamwood Movie Night
Borehamwood Movie Night x4 - £24.00
Multi-child discount
Total
£ 0.00
Credit Card
Card Details
Cardholder Name
Camps
Svivot
Hachshara
Israel Machane
Education
Aliyah
Contact
Bachad
DONATE
LEGACY
