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QLD Winter Camp 2019
Machane Beyachad - 10th - 14th of July
For any issues with this form please call Alysha Mengem or Ofek Kuba on 0415 618 799 or 0424 140 773.
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* Indicates required question
Camper's First Name
*
Your answer
Camper's Last Name
*
Your answer
Sex
*
Female
Male
Other:
School
*
Your answer
Year Level (in 2019)
*
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Year 10
Other:
Full Address (number, street name, city and postcode)
*
Your answer
Camper's Mobile (if applicable)
Your answer
Religious Preference
Betar Australia is cross communal, meaning we endeavour to cater for all Jewish practices. If you would like, please detail your religious preference below (please be specific).
Your answer
Does the camper have any dietary requirements?
Vegetarian
Gluten-free
Lactose intolerant
Other:
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