Shabbat Ha'Irgun - Salford Form

Parent Details

Event

Salford Shabbat Ha'Irgun

Parent 1 Name (Primary Contact)*

First Last

Email*

Primary Contact Phone (Mob.)*

Parent 2 Name

First Last

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:

Children's Details

How many children are you booking for?

Child 1

Child 1 Name

Date of Birth

DD slash MM slash YYYY

Shevet

Will be attending:

£30 - Friday Night Dinner, Shabbat Lunch and Motzei Shabbat Tochnit (Year 6-10)

£16 - Shabbat Lunch and Sunday Tochnit (Years 1-5)

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

Yes

Please give details below:

Child 2

Child 2 Name

Date of Birth

DD slash MM slash YYYY

Shevet

Will be attending:

£30 - Friday Night Dinner, Shabbat Lunch and Motzei Shabbat Tochnit (Year 6-10)

£16 - Shabbat Lunch and Sunday Tochnit (Years 1-5)

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

Shevet

Will be attending:

£30 - Friday Night Dinner, Shabbat Lunch and Motzei Shabbat Tochnit (Year 6-10)

£16 - Shabbat Lunch and Sunday Tochnit (Years 1-5)

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

Shevet

Will be attending:

£30 - Friday Night Dinner, Shabbat Lunch and Motzei Shabbat Tochnit (Year 6-10)

£16 - Shabbat Lunch and Sunday Tochnit (Years 1-5)

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

Shevet

Will be attending:

£30 - Friday Night Dinner, Shabbat Lunch and Motzei Shabbat Tochnit (Year 6-10)

£16 - Shabbat Lunch and Sunday Tochnit (Years 1-5)

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 5785

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

Please note, we would never want anyone to miss out on a Bnei Akiva event due to financial reasons. We therefore have funds available to help families in need of extra financial support. Please get in touch with Lani via north@bauk.org in confidence.

Friday Night Dinner, Shabbat Lunch and Motzei Shabbat Tochnit Total (Years 7-10) Salford

Price: £ 0.00

Shabbat Lunch and Sunday Tochnit Total (Years 1-6) Salford

Price: £ 0.00

We will be producing a special bencher for Shabbat Ha'Irgun. If you would like to include a message for the community, you can do so below.

Bencher Sponsorship

£72 - Full Page

£36 - Half Page

£18- Quarter Page

Other

Please note, this donation will not be eligible for Gift Aid. If you would like to make a Gift Aid-able donation to Friends of Bnei Akiva for the bencher, you can do so at www.bauk.org/donate. The deadline to do this is the 22nd January

I would like to donate a different amount of:

My message:

If you would like a business logo or advert included, please send artwork to svivot@bauk.org

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

Yes

Total

Credit Card

Card Details

Cardholder Name

CAPTCHA

Shabbat Ha'Irgun - Salford

Shabbat Ha'irgun - Salford 5785

Parent Details

Children's Details

Child 1

Child 2

Child 3

Child 4

Child 5

Booking & Payment

London

Manchester

Our Policies

Our Policies