Camps
Svivot
Hachshara
Israel Machane
Education
Aliyah
Contact
Bachad
DONATE
LEGACY
Salford Bnei Akiva Motzash Activity Night
Join us for an activity night with pizza and fun!
Years 3-6 6pm-8pm
Years 7-10 7:30pm-9:30pm
Salford BA Motzash activity night
Step
1
of
3
33%
Parent Name (Primary Contact)
*
First
Last
Email
*
Primary Contact Phone (Mobile)
*
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)
Atid (Years 1 and 2)
Hachana Aleph (Year 3)
Hachana Bet (Year 4)
Zeraim (Year 5)
Nitzanim (Year 6)
Ma'alot (Year 7)
Any Allergies or Dietary Requirements?
Child 2
Child 2 Name
Date Of Birth
DD slash MM slash YYYY
Shevet (Or school year if unkown)
Atid (Years 1 and 2)
Hachana Aleph (Year 3)
Hachana Bet (Year 4)
Zeraim (Year 5)
Nitzanim (Year 6)
Ma'alot (Year 7)
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 (Years 1 and 2)
Hachana Aleph (Year 3)
Hachana Bet (Year 4)
Zeraim (Year 5)
Nitzanim (Year 6)
Ma'alot (Year 7)
Any Allergies or Dietary Requirements?
Child 4
Child 4 Name
Date of Birth
DD slash MM slash YYYY
Shevet (Or school year if unkown)
Atid (Years 1 and 2)
Hachana Aleph (Year 3)
Hachana Bet (Year 4)
Zeraim (Year 5)
Nitzanim (Year 6)
Ma'alot (Year 7)
Any Allergies or Dietary Requirements?
Payment
Salford Motzash Activity Night
Quantity
*
Price:
£ 5.00
Quantity
Total
£ 0.00
Credit Card
Card Details
Cardholder Name
Camps
Svivot
Hachshara
Israel Machane
Education
Aliyah
Contact
Bachad
DONATE
LEGACY
