Camp Dates

Camp A: August 1 - 15 (2 weeks) Camp B: August 1 - 8 (1 week) Camp C: August 8 - 15 (1 week)

Your Details

Family Name

Student's First Name

Gender

Male Female

Date of Birth

Date of Birth

Contact Details

Address Post Code Country

First Name of Parent or Guardian

Family Name of Parent or Guardian

Home Telephone

Business Telephone

Mobile

E-mail

Fax

Telephone Number during period of Camp if different from above

Other Information

Nationality Name of School/College Mother Tongue Second Language

Level of Judaism

Orthodox Modern Orthodox Conservative Liberal Traditional

Accommodation

Do you wish to share with a friend's?

Yes No If yes, please give name of friend's

Medical & Diet

Does he/she have any allergies, special dietary requirements or medical Care:

Yes No If yes, please specify

Do you wish to study English (Optional Extra)

Yes No

If yes, please mark the following - 1 = Beginner, 5 = Very Good

Oral:

1 2 3 4 5

Written:

1 2 3 4 5

Travel Details: (optional extra)

Do you require airport transfer to and from the camp?

From London Heathrow airport

Yes No

From London Gatwick airport

Yes No

From Ashford Eurostar Station

Yes No

To London Heathrow airport

Yes No

To London Gatwick airport

Yes No

To Ashford Eurostar Station

Yes No

London Eye ride (optional extra)

Do you wish to take part?

Yes No

Camp España Excursions

Students aged 10 -14 will be accompanied on Excursions by monitors. Students over 15 will be allowed to walk around on their own or in a group for which I give my permission

Yes No

How did you hear about Camp España?

Friend Internet Relative School Newspaper Advertisement Other

Travel & Insurance

A certain level of Insurance is provided by the master Camp Beaumont policy. Please read the Terms & Conditions of that policy attached. If not adequate for your requirements you MUST take out additional insurance as we absolutely cannot be help responsible in the event of any unforeseen incident Please provide details of any additional insurance, which is compulsory, and must include travel, medical expenses, personal accident, cancellation & curtailment, baggage, personal property & money, travel delay and persona liability.

Camp Fees in Sterling & Euros

Camp Fees include:

Accommodation, Full board, Kosher food, All Activities, Evening Programme and one Excusion each week.

1 week course: £499
2 week course: £998

Optional Extras

English Language School (15 hours per week)

1 week course: £99
2 week course: £189

London Eye - £20

Insurance

To include Extreme Sports and Motor Sports - £38 per week

Transfers

London Airports collection: £69 Each Way
London Eurostar collection: £69 Each Way
Ashford Eurostar collection: £30 Each Way

Mode of Payment

By Cheque made payable to Camp Espana

Yes No

or By Bank Transfer in Sterling or Euros

Yes No

1) Payment Details: By Bank Transfer in Euros

Bank: Natwest Bank PLC
Address: PO Box 113, Cavell House, 2a Charing Cross Road, London WC2H 0PD
Sort Code: 60-40-05
Account No: 550-00-35018798
IBANNo: GB98 NWBK 6072 1435 0187 98
BIC: NWBK GB 2L
Account Name: Camp Espana

2) Payment Details: By Bank Transfer in Sterling

Bank: Natwest Bank PLC
Address: PO Box 113, Cavell House, 2a Charing Cross Road, London WC2H 0PD
Sort Code: 60-40-05
Account No: 32158033
IBANNo: GB77 NWBK 6040 0532 1580 33
BIC: NWBK GB 2L
Account Name: Camp Espana

NB: Please add €15 (euros) to cheques and Bank Transfers to cover UK bank charges Conversion from sterling or dollars to euro will be at Natwest Bank buying rate on date of Bank conversion.

Terms and Conditions

I confirm that I have read and agree to the terms and conditions

Yes

I confirm that I have read and agree to the insurance policy

Yes