Ezra Junior Girls Summer Camp 2024
Junior Girls Summer Camp 2024

PLEASE READ CAREFULLY TO ENSURE YOU UNDERSTAND THE APPLICATION PROCESS

Years 4 - 6
Camp Venue: Lake district

Dates: Wednesday 14th - Tuesday 27th August 

Cost: The full price of Junior Girls Camp is £1099
This includes transport TO AND FROM CAMP FROM PAI HOUSE, NW11 ONLY.

How to apply
Stage 1: Complete the form below on behalf of your daughter
Stage 2: Settle an initial non refundable £50 Application deposit paid via Stripe  . The link for this will come at the end of the application form.
Stage 3: Settle an additional non refundable deposit by bank transfer of £150 within 48 hours of your application being submitted. (Your deposit will be a total of £200). For all payments made by online bank transfer (additional deposit and final balance) Transfers should be made to.  Account Name: Ezra Youth Movement, Account Number:00006407, Sort Code:30 93 50. Please use reference first name, surname, reference code (JGS) e.g. NameNameJGS
PLEASE NOTE ALL 3 STAGES MUST BE COMPLETED WITHIN THE GIVEN TIME FRAME TO ENSURE YOUR APPLICATION IS SECURED.
Applications will close on the 22nd April

We will confirm if your daughter has a place at camp or is on the waiting list towards the middle of May.

If your daughter does not receive a place at camp her deposit will be refunded.

Places at camp may not be given on a first come first served basis. Regular attendees of Ezra groups may be given priority.

If you complete a form and then decide you no longer require a place at camp before you have paid a deposit, please email admin@ezrayouth.com to delete your form.

Applicants who live abroad may apply for camp after 22nd April 2024 if there are still spaces available.

Ezra UK reserves the right to refuse any application if they decide the applicant is not suitable for camp.

For questions or enquiries call or text 07522006084 or email admin@ezrayouth.com
Camp Director Mrs Elianna Wieder 
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Email *
Chanicha First Name *
Surname *
Nationality *
My child, named above does not live in the UK but speaks fluent English. I understand that her application will not be processed until after 22nd April 2024. *
Date of Birth *
MM
/
DD
/
YYYY
Age *
Completing School Year *
Name of School *
By completing this application I give Ezra permission to discuss details of my child's application with the school below.
Contact number of School *
Home Address *
Post Code *
Country *
Home Phone Number *
Parent name *
Parent email address 1 *
All camp correspondence will be sent to this email. Please check that there are no spelling mistakes and ensure that this is an address which is checked regularly.
Parent email address 2
If you would like camp correspondence to be sent to a second email address as well please provide it here. Please check that there are no spelling mistakes.
Parent contact number - for contact before camp *
Name of Emergency contact 1 - for emergencies during camp *
Emergency contact number 1 *
Name of Emergency contact 2 - for emergencies during camp *
Emergency contact number 2 *
Medical Information / Allergies *
Please provide information of any medical conditions / allergies / dietary allergies or requirements
Additional Medical Information *
If your child has any educational, behavioral or eating disorders or has either been referred for, or has had any counselling or therapy within the last 6 months. please indicate below so that we can discuss further.
GP Name and Number *
Name of Shul *
Name of Family Rabbi *
Contact Number of Family Rabbi *
For reference
Name and Contact Number of Teacher *
For reference
 As stage 2 of the application process. I agree to pay a non refundable fee via stripe at the end if the form
Cancellations will not be refunded 
This is what you will see on a new screen once your form has been submitted. When the next page opens, please click the link to pay - if you don't do this your space will not be saved. YOU CAN'T CLICK THE PHOTO BELOW. FINISH THE FORM FIRST !
You will then get a receipt that looks like this. if you don't receive this, your payment has probably not gone through. Any problems email admin@ezrayouth.com 
I give permission for Ezra Youth Movement to take pictures of my child during this trip to use for promotional purposes. *
I grant permission for Ezra Youth to take any necessary action during camp should there be any unforeseen occurrences be it medical or other. *
I am happy for Ezra Youth to send me information about future Ezra Camps. (To join the Ezra Parent database please sign up here https://forms.gle/mUiqQ1fiVs1mdobh8) *
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