RegTest | Wix Summer Camps

Child information

Child's first name (English)

Child's last name (English)

Child's first name (Hebrew)

Child's last name (Hebrew)

Child's ID number (תעודת זהות)

Child's birth date

Please indicate the type of medication(s) that they are taking

Please specify what allergies your child has

If your child requires a personal shadow or aid (סייעת צמודה) during the school year, they will need one during summer camp as well (please note, a parent can’t serve as their child's aid). If your child needs an aid, you’ll be exempt from summer camp payments and will only need to pay the aid for their services.

Is there anything else we should know about your child? Does your child have any other special needs?

I agree to pay the tax benefit for the summer camps through my paycheck, according to my tax bracket

I declare that my child has no undisclosed medical conditions or limitations that prevent them from participating in the summer camp activities, including physical activities.

Parent or guardian information

Your full name (English)

Your full name (Hebrew)

Your Wix email

Your employee number (can be found in Hilan)

Your phone number

Additional emergency contact’s phone number

Additional emergency contact’s full name (Hebrew)

Warning Message

Friend or sibling's name

Parent of friend's Wix email

Registration form