Family Name
Student's First Name
Gender Male Female
Date of Birth
Address
Post Code
Country
E-mail
First Name of Parent or Guardian
Family Name of Parent or Guardian
Home Telephone
Business Telephone
Mobile
Fax
Telephone Number during period of Camp if different from above
Nationality
Name of School/College
Mother Tongue
Second Language
Level of Judaism Orthodox Modern Orthodox Conservative Liberal Traditional
Do you wish to share with a friend? Yes No
If yes, please give name of friend(s)
Does he/she have any allergies, special dietary requirements or medical Care Yes No
If yes, please specify
Trip Add-ons: (optional extras) JCamps SKI Price £495 which includes Airport transfers from Lyon airport, Accommodation, Full board, Aprés Ski Activities, and Evening programmeTransfer from & to Lyon Airport is included Do you wish to take part?
6 Days Ski Pass £165 Yes No
6 Days Ski Hire including Helmet £60 (Optional Extra) Yes No
6 x 2 Hours ski Tuition £65 (Optional Extra) Yes No
Where? Friend Internet Relative School Newspaper Advertisement Other 7
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.
Insurance Details
A £250 deposit is required for Application to be confirmed
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.
By Cheque made payable to JCamps Yes No
or By Bank Transfer in Sterling or Euros Yes No
Terms and Conditions I confirm that I have read and agree to the terms and conditions Yes