Summer Fun | Wolfson Web

Summer Fun Application Form

Please complete all relevant fields.

Child's Name:(Required)

First Last

Child's Age:(Required)

Child's Date of Birth:

Child's Kupat Cholim:

Child's Kupat Cholim No.:

Any medical or other information we should know about your child?

Home Address:

Street Address

Father's Name:

First Last

Father's Cell Phone:

Father's Email:

Mother's Name:(Required)

First Last

Mother's Cell Phone:(Required)

Mother's Email:(Required)

Name of Emergency Contact Person (apart from parents):(Required)

First Last

Relation to Child:(Required)

Phone Number 1(Required)

Phone Number 2

Which Days would you like to send your child?

Sun 1st Aug - Castel, Ein Chemed

Mon 2nd Aug - Gan Yehoshua

Tues 3rd Aug - Tower of David, Teddy Park

Wed 4th Aug - Music Museum, Water Tunnels

Thurs 5th Aug - Ein Gedi

Fri 6th Aug - Kotel Tunnels

Consent

I give permission for my son to participate in all trips and activities which I have signed up for in your week of Summer Fun.

How to apply:

Complete the online application form
Pay 200nis deposit to:
Account name: Daniel & Rivkah Wolfson

Bank name: Leumi

Account number: 08684026

Branch number: 904
We will email you to confirm receipt of deposit and camp info (what to bring etc.). Final payment to be paid on the first day of camp.