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Shabbat Ha'Irgun - Woodside Park
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Parent Details
Event
Woodside Park Shabbat Ha'Irgun
Parent 1 Name (Primary Contact)
*
First
Last
Email
*
Parent 2 Name
First
Last
Email
Primary Contact Phone (Mob.)
*
Address
*
Street Address
Address Line 2
City
County / State / Region
ZIP / Postal Code
Please choose whether or not you are attending the Woodside Park Ha'Irgun as a family or paying individually. Please note, if you choose the "family" option then please still select the number of children below to enter any dietary requirements and their shevet etc.
Family Pricing
*
Family - 2 adults, up to 2 children - £55
No
Parent 1 will be attending
£15 - Friday Night Dinner
Parent 2 will be attending
£15 - Friday Night Dinner
If you (the parents) are planning on attending any meals, please give dietary/allergy information below:
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
No
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?
One
Two
Three
Four
Five
Six
Please note: If you are booking a family friday night ticket, do NOT select "Friday Night" for any children included in the family group You will be charged for an extra ticket
Child 1
Child 1 Name
Date of Birth
DD slash MM slash YYYY
School
Shevet
Atid (Year 1/2)
Hachana Aleph (Year 3)
Hachana Bet (Year 4)
Zeraim (Year 5)
Nitzanim (Year 6)
Ma'alot (Year 7)
Ma'apilim (Year 8)
Haroeh (Year 9)
Chavraya Gimmel (Year 10+)
Will be attending:
Child (Aged 12+) - Friday Night Dinner - £12.50
Child (Aged 12 and under) - Friday Night Dinner - £10
Child - Shabbat Lunch - £10
Does this child have any dietary/medical requirements, or allergies?
Yes
No
Please give details below:
Child 2
Child 2 Name
Date of Birth
DD slash MM slash YYYY
School
Shevet
Atid (Year 1/2)
Hachana Aleph (Year 3)
Hachana Bet (Year 4)
Zeraim (Year 5)
Nitzanim (Year 6)
Ma'alot (Year 7)
Ma'apilim (Year 8)
Haroeh (Year 9)
Chavraya Gimmel (Year 10+)
Will be attending:
Child (Aged 12+) - Friday Night Dinner - £12.50
Child (Aged 12 and under) - Friday Night Dinner - £10
Child - Shabbat Lunch - £10
Does this child have any dietary/medical requirements, or allergies?
Yes
No
Please give details below:
Child 3
Child 3 Name
Date of Birth
DD slash MM slash YYYY
School
Shevet
Atid (Year 1/2)
Hachana Aleph (Year 3)
Hachana Bet (Year 4)
Zeraim (Year 5)
Nitzanim (Year 6)
Ma'alot (Year 7)
Ma'apilim (Year 8)
Haroeh (Year 9)
Chavraya Gimmel (Year 10+)
Will be attending:
Child (Aged 12+) - Friday Night Dinner - £12.50
Child (Aged 12 and under) - Friday Night Dinner - £10
Child - Shabbat Lunch - £10
Does this child have any dietary/medical requirements, or allergies?
Yes
No
Please give details below:
Child 4
Child 4 Name
Date of Birth
DD slash MM slash YYYY
School
Shevet
Atid (Year 1/2)
Hachana Aleph (Year 3)
Hachana Bet (Year 4)
Zeraim (Year 5)
Nitzanim (Year 6)
Ma'alot (Year 7)
Ma'apilim (Year 8)
Haroeh (Year 9)
Chavraya Gimmel (Year 10+)
Will be attending:
Child (Aged 12+) - Friday Night Dinner - £12.50
Child (Aged 12 and under) - Friday Night Dinner - £10
Child - Shabbat Lunch - £10
Does this child have any dietary/medical requirements, or allergies?
Yes
No
Please give details below:
Child 5
Child 5 Name
Date of Birth
DD slash MM slash YYYY
School
Shevet
Atid (Year 1/2)
Hachana Aleph (Year 3)
Hachana Bet (Year 4)
Zeraim (Year 5)
Nitzanim (Year 6)
Ma'alot (Year 7)
Ma'apilim (Year 8)
Haroeh (Year 9)
Chavraya Gimmel (Year 10+)
Will be attending:
Child (Aged 12+) - Friday Night Dinner - £12.50
Child (Aged 12 and under) - Friday Night Dinner - £10
Child - Shabbat Lunch - £10
Does this child have any dietary/medical requirements, or allergies?
Yes
No
Please give details below:
Child 6
Child 6 Name
Date of Birth
DD slash MM slash YYYY
School
Shevet
Atid (Year 1/2)
Hachana Aleph (Year 3)
Hachana Bet (Year 4)
Zeraim (Year 5)
Nitzanim (Year 6)
Ma'alot (Year 7)
Ma'apilim (Year 8)
Haroeh (Year 9)
Chavraya Gimmel (Year 10+)
Will be attending:
Child (Aged 12+) - Friday Night Dinner - £12.50
Child (Aged 12 and under) - Friday Night Dinner - £10
Child - Shabbat Lunch - £10
Does this child have any dietary/medical requirements, or allergies?
Yes
No
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 Michal via mazkira@bauk.org in confidence.
Birkon Sponsor
Quarter page £18
Half page £36
Full page £72
Bnei Akiva are putting together a new Birkon to use for the whole of the UK for different Shabbatonim and for Machonot. If you wish to sponsor something feel free to fill out the form by the 22nd January.
Woodside Park BA Friday Night Dinner Total
Price:
£ 0.00
Woodside Park BA Shabbat Lunch Total
Price:
£ 0.00
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
No
Total
Credit Card
Card Details
Cardholder Name
CAPTCHA
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