Bat Mitzvah Shabbaton Away Booking Form 2022

Bat Mitzvah Shabbaton Away 2022 May 27 and 28, 2022
Girls Full Name*
First NameLast Name
Parents Full Name*
First NameLast Name
E-mail*
Phone Number*
Area CodePhone Number
The cost of the Shabbaton is $130, but we do not want that to stand in the way of anyone of the Bat Mi girls not attending, so please speak with Reuvi if this is a challenge.
Authority for my child to Attend the Excursion: By completing this form I agree and understand the following: My child has my permission to attend the excursion listed: I am listed on the child's Enrolment form as a Parent of Authorised Nominee: I have read all of the details provided by the service and understand that I can access the Excursion Risk Assessment at the service: The contact details, including all emergency contact details, listed on my child's Enrolment Form are up-to-date.
Please tick to show consent*
Consent Given as per the above
*
$130

Payment*

Credit Card

Billing Address

Street Address

Street Address Line 2

Suburb

State

Post Code

Country

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