Eco Kids Camp Barbados Registration Form

Chabad Bondi CBkids Registration Form

Register your child(ren) for the CBkids club.
Child Name:*

First NameLast Name
Hebrew Name:

First NameLast Name
Birth Date:*

DayMonthYear
What time of day was your child born? this will help determan the correct hebrew birthday.
More children?
Add more children. NAME, HEBREW NAME, DOB, TIME OF BIRTH.
Mobile Number*
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Please provide any medical or dietary restrictions of child(en) Please specify which child:
How did you hear about CBkids?:*

Chabad Bondi CBkids Registration Form