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Year 7 Brighton Shabbaton - 5th April 2024 - Please only fill in this form if requested to do so
Child Details
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Date of Birth
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DD slash MM slash YYYY
Participant Address
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Street Address
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ZIP / Postal Code
Please write down the names of 2 people that you want to share a room with
We will do our best to accommodate these requests, but cannot make any guarantees
Parent/Guardian Details
Parent/Guardian Name
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Last
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Parent/Guardian Email
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Parent/Guardian Address
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Same as previous
Street Address
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This Parent/Guardian will be the emergency contact for my child
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If No, please give details of an emergency contact for your child here, including Name, Phone Number & Email Address
Medical Details
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I give permission for my child to be in photos that may be used on social media and/or distributed publically
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I agree to Mizrachi UK
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By providing this information I confirm that I am consenting to Mizrachi holding and processing my personal data to keep me informed about Mizrachi's services, courses, events and fundraising. Where you do not grant consent we will not be able to use your personal data; (so for example we may not be able to let you know about forthcoming services and events); except in certain limited situations, such as where required to do so by law or to protect members of the public from serious harm. You can find out more about how we use your data and how to withdraw your consent from our Privacy Notice.
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