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Spain leadership Shabbaton
Spain leadership Shabbaton
1
2
Section 1: Applicant's Details
Applicant's Name
*
First
Last
Name of parent to be contacted in case of emergency
*
First
Last
Emergency contact number
*
Secondary emergency contact number
*
Gender
*
Male
Female
Date of Birth
*
DD slash MM slash YYYY
Shevet
HaShachar (year 11)
Rafael (year 12)
Seenai (year 13)
Any dietary restrictions e.g. vegetarian/vegan or food allergies:
*
Yes
No
Please specify any dietary restrictions in the box below
*
Name on Passport
*
Please ensure this is spelled exactly the same as in your passport, as this is what we use to book your flights.
Passport Number
*
Nationality
*
Date of Issue
*
DD slash MM slash YYYY
Date of Expiry
*
DD slash MM slash YYYY
Section 2: Medical Details
Please specify any medical issues or allergies
*
I am happy for Bnei Akiva to take photos of my child which may be used publicly by Bnei Akiva.
*
Yes
No
Payment
Full price for the Shabbaton including flights is £280. Some madrichim are eligible for a discount according to their sviva attendance. Price with discount is £180. If you have any further questions about price, please be in touch with Lani or Elad
Price
*
I wish to support another child going to the Shabbaton, please add £ ......... to my invoice as my donation
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 to support another child, you can do so at www.bauk.org/donate
Total
£ 0.00
Credit Card
Card Details
Cardholder Name
Untitled
Email
This field is for validation purposes and should be left unchanged.
Camps
Svivot
Hachshara
Israel Machane
Education
Aliyah
Contact
Bachad
DONATE
LEGACY