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Application and Medical Form for Summer Machane

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  • Section 1: Applicant's Details

    Different payment options are available on the final payment page of this form
  • Child's Details

  • DD slash MM slash YYYY
  • My child would like to share a dormitory with (not in order of preference): We will endeavour to place your child with at least 1 friend.
  • Please ensure there is no one else in the photo.
    Max. file size: 50 MB.
  • We require a general reference from your child's school which we request from the Head of Year or class teacher.
  • Parent/Guardian 1

  • Parent/Guardian 2

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  • Section 2: Medical Details

  • Please give your doctor’s details.
  • If any details given below change before camp begins you MUST let us know. Please email [email protected] with any changes
  • Withholding information may endanger the health or well being of your child. Please Note: Bnei Akiva reserve the right to reject an application if the applicant’s parents or guardians withhold any medical information regarding their child.
  • Please state approximate date of last injection
  • Asthma sufferers If your child uses an asthma inhaler, please make sure that two spare inhalers are brought (a total of three). One will be handed in to the First Aider, one will be left in your child’s bag and one to be carried by them at all times (if necessary). Please attach a letter with full details of your child’s condition to this form so we are fully informed of the situation.
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  • Section 3: Other Details

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  • Section 4: Emergency Contact Details

  • In case of an emergency and in the event that you cannot be contacted, kindly give an alternative contact. This person must be prepared and able to collect your child from camp should they need to return early.

    PLEASE NOTE, THIS EMERGENCY CONTACT MUST NOT BE THE APPLICANT’S PARENT.

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  • Section 5: Membership & Data Protection


  • 1) Membership of Bnei Akiva is available only to persons of the Jewish Religion according to the rulings of the Office of the Chief Rabbi.

    2) Membership lasts for 1 Jewish year only, Rosh Hashanah to Rosh Hashanah and must be renewed accordingly.

    3) The supply of incorrect information may at the discretion of Bnei Akiva render membership invalid.

    4) Bnei Akiva reserves the right at its discretion to revoke membership in line with the Articles of Association and Standing Orders of the Movement.


  • Data Protection Act 1998
    General Data Protection Regulations (GDPR) 2018
    All data supplied will be recorded and held electronically in Bnei Akiva's secure database. All data requested is considered necessary for the safe and efficient running of Bnei Akiva Camps and Events. We only request data that we consider to be relevant and make every effort not to request data which might be considered excessive for the purpose. Access to all data held is strictly controlled and is only accessible to Bnei Akiva employees who require such access in order to properly carry out their jobs. Information will not be disclosed to any third party member without your consent. Please feel free to read our full Data Protection Policy at bauk.org
    I agree my child will only bring to camp the medication declared above.

    I have read the above and agree that if it is felt necessary Bnei Akiva can administer my child over the counter medication.

    I have declared any drug/medical treatment which my child may be allergic to (this may include the use of plasters & bandages, Paracetamol, Ibuprofen, etc.).

    In the event of any accident or illness during camp, Bnei Akiva will make every endeavour to contact the child’s parent/guardian/emergency guardian. If I cannot be contacted, I hereby authorise any medical, surgical or dental procedure that a registered practitioner deems necessary for my child. I further authorise qualified practitioners to administer anaesthetic to this child if such an eventuality arises. I undertake to pay any medical or dental fees and/or cost incurred in this regard that is not covered by insurance.

    In the event of my child being sent home from Machane due to health or behaviour issues, I agree that it is the responsibility of the parent/guardian/emergency contact to pick up the child, and pay for any expenses incurred.

    My child and I have read and understood the behaviour agreement and appreciate that s/he must act in accordance with them whilst under the auspices of Bnei Akiva Camp.

    If you would like any further details about how and why we might contact you, or if you would like to make any specific changes to the above, please contact [email protected]
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  • Section 6: Terms & Conditions

    Your contract with Bnei Akiva
  • Click on the link below for the Machane Code of Conduct, and Terms & Conditions. These constitute your contract with Bnei Akiva. Please read this through with the child/ren you are applying for and ensure you and they are aware of the obligations it entails:

    Machane Code of Conduct

  • Please take time to read through our First Aid Policy:

    Machane First Aid Policy

  • I hereby declare that to the best of my knowledge, this form is accurate and complete. I understand that Bnei Akiva will not be responsible for any medical condition either physical or emotional, resulting from my failure to disclose relevant information prior to my child arriving at camp.

    I understand that I must disclose any pertinent safeguarding information to our Designated Protection Officer (DSO) prior to attending Bnei Akiva activities. Bnei Akiva upholds information-sharing procedures compatible with LSCB guidelines, and will work in a sensitive and confidential manner to ensure the highest level of safeguarding for your child.

    I understand that pre-existing conditions that have not been declared may result in my child being returned home immediately at my expense and no refund given.

    I understand the Insurance Group Policy will become void if pre-existing medical information has not been declared.

    I have noted that it is Bnei Akiva’s practice to provide over the counter medication at camp and I have declared any allergies that my child may have to such medication on this form. If for any reason it is deemed necessary, I accept that my child will be taken to visit the local doctor and/or hospital.

    If my child becomes ill before camp, Bnei Akiva will require a doctor’s letter stating that my child is fit and well enough to attend.

    All medication must be handed in at the beginning of camp for safety reasons. I will inform my child of this before s/he leaves for camp. Additionally, I will not send my child to camp with any extra medication that has not been declared as this comprises a danger to both my child and other children.

    Cancellation Policy:

    Cancellations after the application Deadline will be refunded as follows:

    - 6 weeks or more prior to camp – 100% (less an admin fee of £75)

    - Cancellation within 6 weeks of departure, no refund.

    PLEASE NOTE: Mas Chaver or camp insurance will NOT be refunded in all the above cases.

  • You must agree to our terms and conditions to continue.
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  • Section 7: Payment

    If you are applying for financial support please contact Lorraine at [email protected] or 02082091319 ext. 8
    If you are applying for financial support please contact Lorraine at [email protected] or 02082091319 ext. 8
    If you are applying for financial support please contact Lorraine at [email protected] or 02082091319 ext. 8
    Membership runs according to the Jewish Calendar, from Rosh Hashanah to Rosh Hashanah, and is non-refundable
  • Bnei Akiva provides an optional group insurance policy that offers travel and medical cover. You can see the full policy at bauk.org/camps.
  • If you have already signed up 2 or more children on Machane (incl. Israel Machane), choose Yes above. This entitles you to a £60 discount in total. Please enter the names of the two other children who have been signed up:
  • 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
  • £ 0.00
  • This field is for validation purposes and should be left unchanged.
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If you would like more information about what we do

GET IN TOUCH

London

2 Hallswelle Road
London
NW11 0DJ
Tel: 0208 209 1319

Manchester

72 Singleton Road
Salford
Manchester
M7 4LU
Tel: 0161 740 1621

Our Policies

  • Constitution
  • Data Protection Policy
  • Customer Service Policy

Our Policies

  • Safeguarding Policy
  • Machane Terms & Conditions

© 2023 Bnei Akiva UK.

  • Camps
  • Svivot
  • Hachshara
  • Israel Machane
  • Education
  • Aliyah
  • Contact
  • Bachad
    • DONATE
    • LEGACY