Welcome to Chani Leiser's Art Camp Name * First Name Last Name Parent name * First Name Last Name Email * Phone (###) ### #### School Beis Soro Schneirer Beis Yaacov Ateres Menorah Primary Other Year Group * Reception Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Date of Birth * MM DD YYYY Where did you hear about us? Anything you would like to tell us Terms and conditions * View the terms and conditions here. I agree to the Terms and Conditions