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CGI Chanukah Mini Camp: Application Form
Please fill out each section below. If a section does not apply to you or your child please fill in 'N/A'.
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Email
*
Your email
Parents Information
Mother's name (first, surname):
*
Your answer
Mother's Jewish name (if known):
*
Your answer
Mother's contact number:
*
Your answer
Mother's email address:
*
Your answer
Father's name (first, surname):
*
Your answer
Father's contact number:
*
Your answer
Father's email address:
*
Your answer
Full home address:
*
Your answer
In case of emergency we will always try to contact parents first. If we are unable to reach either parent we would contact an emergency contact. Please specify an emergency contact and contact details for them.
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Your answer
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