Year 7 Brighton Shabbaton - 5th April 2024 - Please only fill in this form if requested to do so

Child Details

Participant Name(Required)
Participant Gender(Required)
DD slash MM slash YYYY
Participant Address(Required)
We will do our best to accommodate these requests, but cannot make any guarantees

Parent/Guardian Details

Parent/Guardian Name(Required)
Parent/Guardian Address(Required)
This Parent/Guardian will be the emergency contact for my child(Required)

Medical Details

Permission

I give permission for my child to be in photos that may be used on social media and/or distributed publically
Terms and Conditions(Required)
We would love to stay in touch with you and let you know about our vital services, our education work, events and fundraising. Your privacy is important to us, and we need your consent in order to communicate with you. Please select all the ways we can contact you.
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.
Donate

Login

Lost your password?