Camp Gan Israel UK
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Email Address
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Family Name
Home Phone
Street Address
Town
Post Code
Mothers Name
Mothers Hebrew Name
Mothers Mobile Phone
Mothers Work Phone
Fathers Name
Fathers Hebrew Name
Fathers Mobile Phone
Fathers Work Phone
Medical Information
Name of Doctor or Practice
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Town (Dr)
Post Code (Dr)
Emergency contact must be someone other than the child's parents
Emergency Contact Name
Emergency Phone
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