Camps
Svivot
Hachshara
Israel Machane
Education
Aliyah
Contact
Bachad
DONATE
LEGACY
MOVIE NIGHT BOOKING
Step
1
of
3
33%
IN ORDER TO BEST CARE FOR YOUR CHILD, WE REQUIRE ALL PARTICIANTS OF SVIVA EVENTS TO HAVE FILLED OUT THE SVIVA MEDICAL FORM. IF YOU HAVE NOT ALREADY DONE SO, PLEASE VISIT https://www.bauk.org/svivot-medical-form/ BEFORE THEY ATTEND
Which Sviva will your children be attending?
*
Woodside Park
Name (Primary Contact)
*
First
Last
Email
*
Primary Contact Phone (Mob.)
*
Children's Details
How many children are you booking for?
*
1
2
3
4
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)
Atid (Year 2)
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
Movie Night Contribution
*
Please consider contributing between £2-5 per child towards the movie night and snacks
Total
£ 0.00
Credit Card
Card Details
Cardholder Name
Camps
Svivot
Hachshara
Israel Machane
Education
Aliyah
Contact
Bachad
DONATE
LEGACY
