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Year 13 Shabbaton 5786 (no payment)

Friday November 7th & Shabbat 8th

SECTION 1: PARTICIPANT DETAILS

Name
Gender(Required)
Date of Birth(Required)
Email(Required)
Address(Required)

Section 2: PARENT/GUARDIAN

Name(Required)
Address(Required)

SECTION 4: MEDICAL AND WELFARE INFORMATION

Does your child suffer from any of the following: asthma, hyperventilation, panic attacks, skin disorder, diabetes, Hay Fever(Required)
Does your child carry an inhaler?(Required)
Does your child carry an epi pen?(Required)
Is there anything else (family background, medical) that Yehudi Welfare should be aware of?(Required)
Has your child ever been diagnosed with any condition which Yehudi Welfare should be made aware of? e.g., Dyslexia, ADHD, Hyperactivity, Hypermobility, eating disorder, self-harm, autism spectrum, Asperger’s syndrome, anxiety, OCD, any mental health related disorder? If yes, please give details below.(Required)
Has your child ever been excluded from school or a youth movement or ever been sent home early from a residential trip?(Required)

SECTION 6: T&Cs

I agree that any violation of the T&Cs will result in my childsimmediate removal from the programme and I explicitly agree to cover any associated costs with doing so, including, but not limited to, a return trip home or repaying subsidies.(Required)
I agree to only send medication declared above on the trip.(Required)
I agree to the T&Cs and cancellation policy found here: yehudi.co.uk/t-cs(Required)
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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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