Yehudi | Year 7 Brighton Shabbaton 2023

Child Details

Name(Required)

First Last

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Address(Required)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

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If other, please specify.

Yehudi Group Number

Parent/Guardian Details

Name(Required)

First Last

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Address(Required)

Same as previous

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

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

Yes

No

If No, please give details of an emergency contact for your child here, including Name, Phone Number & Email Address

Medical Details

Allergies

Please specify your dietary requirements

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Gluten Free

Sesame free

Nut free

Other

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Medication Taken

Medical Conditions

Anything Else We Should Know?

Permission

I give permission for my child to be in photos

I agree

Please see mizrachi.org.uk/photospolicy for the full policy wording.

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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.

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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.

Ticket(Required)

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Credit Card

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