Ha'Irgun- After deadline

Step 1 of 3

33%

Please DO NOT submit this form if the current Shabbat Ha'Irgun form is still active. This form is for payments made after 00:00 Monday the week of Ha'Irgun, and retrospective payments after the Shabbat Ha'Irgun

Event

Hendon Shabbat Ha’Irgun

Borehamwood Shabbat Ha’Irgun

Kinloss Shabbat Ha’Irgun

MHE Shabbat Ha’Irgun

HGS (SHABBAT DAY ONLY) Ha’Irgun- Please do not purchase Friday Night Tickets!

Salford Shabbat Ha’Irgun

South Hampstead Shabbat Ha’Irgun

Bushey Shabbat Ha’Irgun

Brondesbury Park Shabbat Ha’Irgun

Parent Details

Parent 1 Name (Primary Contact)*

First Last

Email*

Parent 2 Name

First Last

Primary Contact Phone (Mob.)*

Address*

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

Unless otherwise stated, the primary contact will also be considered the Emergency Contact for all children listed on this form. Would you like to include an alternate Emergency Contact?*

Yes

Please give Emergency Contact details below, and state which child/ren they are responsible for:

Adult Details- PLEASE CHECK YOUR SPECIFIC HA'IRGUN DETAILS BEFORE BOOKING PARENTS FOR FRIDAY NIGHT, SOME SVIVOT ARE NOT DOING FAMILY FRIDAY NIGHT.

How many ADULTS are you booking for?

Adult 1 Name

Does this adult have any dietary/medical requirements, or allergies?

Yes

Please give details below:

Adult 2 Name

Does this adult have any dietary/medical requirements, or allergies?

Yes

Please give details below:

How many children are you booking for?

Child 1

Child 1 Name

Date of Birth

DD slash MM slash YYYY

School

Shevet

Will be attending:

Child FND (Y1-6) £11

Child FND (Y7+) £13

Child – Shabbat Lunch £12.50

Please give details below:

Child 2

Child 2 Name

Date of Birth

DD slash MM slash YYYY

School

Shevet

Will be attending:

Child FND (Y1-6) £11

Child FND (Y7+) £13

Child – Shabbat Lunch £12.50

Does this child have any dietary/medical requirements, or allergies?

Yes

Please give details below:

Child 3

Child 3 Name

Date of Birth

DD slash MM slash YYYY

School

Shevet

Will be attending:

Child FND (Y1-6) £11

Child FND (Y7+) £13

Child – Shabbat Lunch £12.50

Does this child have any dietary/medical requirements, or allergies?

Yes

Please give details below:

Child 4

Child 4 Name

Date of Birth

DD slash MM slash YYYY

School

Shevet

Will be attending:

Child FND (Y1-6) £11

Child FND (Y7+) £13

Child – Shabbat Lunch £12.50

Does this child have any dietary/medical requirements, or allergies?

Yes

Please give details below:

Child 5

Child 5 Name

Date of Birth

DD slash MM slash YYYY

School

Shevet

Will be attending:

Child FND (Y1-6) £11

Child FND (Y7+) £13

Child – Shabbat Lunch £12.50

Does this child have any dietary/medical requirements, or allergies?

Yes

Please give details below:

Child 6

Child 6 Name

Date of Birth

DD slash MM slash YYYY

School

Shevet

Will be attending:

Child FND (Y1-6) £11

Child FND (Y7+) £13

Child – Shabbat Lunch £12.50

Does this child have any dietary/medical requirements, or allergies?

Yes

Please give details below:

Booking & Payment

Mas Chaver is membership of Bnei Akiva, and runs from Rosh Hashanah to Rosh Hashanah. Mas Chaver for this year (5785) began in September 2024 and you would have paid if you attended Winter Machane.

Mas Chaver (Membership)

Family Membership – £95

Individual Membership – £53

I already have Mas Chaver for 5784

I do not wish to purchase Mas Chaver at this time

If you are paying for participants not in your family, they will need to arrange their own Mas Chaver by visiting bauk.org/mas-chaver

Adult- FND Quantity

Price: £ 13.00

Quantity

Child- FND y1-y6 Quantity

Price: £ 11.00

Quantity

Child- FND y7+ Quantity

Price: £ 13.00

Quantity

Child- Shabbat Lunch Quantity

Price: £ 12.50

Quantity

I would like to donate a different amount of:

I am happy for Bnei Akiva and Friends of Bnei Akiva (BACHAD) to contact me about future events and news.*

Yes

Total

CAPTCHA

Ha’irgun Sign up form- After deadline 5786

Please DO NOT submit this form if the current Shabbat Ha'Irgun form is still active. This form is for payments made after 00:00 Monday the week of Ha'Irgun, and retrospective payments after the Shabbat Ha'Irgun

Parent Details

Adult Details- PLEASE CHECK YOUR SPECIFIC HA'IRGUN DETAILS BEFORE BOOKING PARENTS FOR FRIDAY NIGHT, SOME SVIVOT ARE NOT DOING FAMILY FRIDAY NIGHT.

Child 1

Child 2

Child 3

Child 4

Child 5

Child 6

Booking & Payment

London

Manchester

Our Policies

Our Policies