Winter Camp 2025 Registration
Your Information:
Parent/guardian
Name
*
Phone
*
E-mail
*
Relationship to child
*
Mother
Father
Other
Add additional parent/guardian
Name
Phone
E-mail
Relationship to child
Mother
Father
Other
Child's Information:
How many children would you like to register? (family discount of 5% applied for all additional children)
*
First Child:
Would like to join for (*minimum of 2 days required*)
*
The full week
, Monday 29 December '25 - Friday 2 January '26 £159
Monday
29 December £37
Tuesday
30 December £37
Wednesday
31 January £37
Thursday
1 January £37
Friday
2 January £27
Name
*
Date of Birth
*
-
Day
-
Month
Year
Date
Gender
*
School
*
Year
*
Please Select
Reception
1
2
3
4
5
6
Home Address
*
Street Address
Street Address Line 2
City
County
Post Code
Price
Any Allergies or Medical conditions?
Does your child receive any extra support in school?
Anything else you would like us to know?
Please tick all that are appropriate:
*
Child was born to a Jewish mother
There are conversions to Judaism in the child's maternal family
Child is not Jewish but interested in Judaism
Child is adopted into a Jewish family
Childs Jewish name (if known)
Child 2
Second Child:
Would like to join for (*minimum of 2 days required*)
*
The full week
, Monday 29 December '25 - Friday 2 January '26 £159
Monday
29 December £37
Tuesday
30 December £37
Wednesday
31 January £37
Thursday
1 January £37
Friday
2 January £27
Child's Name
*
Date of Birth
*
-
Day
-
Month
Year
Date
Gender
*
School
*
Year
*
Please Select
Reception
1
2
3
4
5
6
Price
Any Allergies or Medical conditions?
Does your child receive any extra support in school?
Anything else you would like us to know?
Please tick all that are appropriate:
*
Child was born to a Jewish mother
There are conversions to Judaism in the child's maternal family
Child is not Jewish but interested in Judaism
Child is adopted into a Jewish family
Jewish name (if known)
Child 3
Third Child:
Would like to join for (*minimum of 2 days required*)
*
The full week
, Monday 29 December '25 - Friday 2 January '26 £159
Monday
29 December £37
Tuesday
30 December £37
Wednesday
31 January £37
Thursday
1 January £37
Friday
2 January £27
Child's Name
*
Date of Birth
*
-
Day
-
Month
Year
Date
Gender
*
School
*
Year
*
Please Select
Reception
1
2
3
4
5
6
Any Allergies or Medical conditions?
Does your child receive any extra support in school?
Anything else you would like us to know?
Please tick all that are appropriate:
*
Child was born to a Jewish mother
There are conversions to Judaism in the child's maternal family
Child is not Jewish but interested in Judaism
Child is adopted into a Jewish family
Jewish name (if known)
Just a bit more info...
Additional emergency contact (besides parents)
*
Emergency contact phone
*
Relationship to child
*
Grandparent, Family friend, Aunt etc.
GP Surgery
*
GP Surgery phone number
*
GP Surgery address
*
Consent
*
I give my consent for staff at Camp JUDA to: 1- Administer first aid and if necessary take my child to the hospital in the event of an accident or emergency. 2- Take my Child/ren on outings and trips with any risks associated, and allow Camp JUDA to sign any waivers on my behalf if necessary. 3- Take and display photographs or videos of my child for updating parents and/or promotional purposes.
Payment
Were you referred?
Total cost
If you have a financial grant code, please enter it here:
Discount value
Final total cost
Total Cost
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Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Number
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