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Year 13 Shabbaton 5786 (Mentors)

Friday November 7th & Shabbat 8th

SECTION 1: PARTICIPANT DETAILS

Name
Gender(Required)
Email(Required)
Address(Required)

Section 2: PARENT/GUARDIAN EMERGENCY CONTACT

Name(Required)
Address(Required)

SECTION 4: MEDICAL AND WELFARE INFORMATION

Do you suffer from any of the following: asthma, hyperventilation, panic attacks, skin disorder, diabetes, Hay Fever(Required)
Do you carry an inhaler?(Required)
Do you carry an epi pen?(Required)
Is there anything else (family background, medical) that Yehudi Welfare should be aware of?(Required)
Have you 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)
Have you 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 immediate 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 bring 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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