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Cheadle shabhag 5784
Step
1
of
3
33%
Parent Details
Number of parents attending
Parent 1 Name (Primary Contact)
*
First
Last
Parent 2 Name
First
Last
Primary Contact Email
*
Primary Contact Phone (Mob.)
*
If you (the parents) are planning on attending any meals, please give dietary/allergy information below:
Children's Details
How many children are you booking for?
Child 1 Name
Shevet
under 5
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+)
Does this child have any dietary/medical requirements, or allergies?
Yes
No
Please give details below:
CHILD 2
Child 2 Name
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+)
Does this child have any dietary/medical requirements, or allergies?
Yes
No
Please give details below:
CHILD 3
Child 3 Name
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+)
Does this child have any dietary/medical requirements, or allergies?
Yes
No
Please give details below:
CHILD 4
Child 4 Name
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+)
Does this child have any dietary/medical requirements, or allergies?
Yes
No
Please give details below:
CHILD 5
Child 5 Name
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+)
Does this child have any dietary/medical requirements, or allergies?
Yes
No
Please give details below:
CHILD 6
Child 6 Name
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+)
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 (5784) began in September 2023 and you will have paid if you have signed up for Winter Machane.
Mas Chaver (Membership)
Family Membership - £95
Individual Membership (Year 6-12) - £53
Individual Membership (Year 1-6) - £25
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
I am happy for Bnei Akiva and Friends of Bnei Akiva (BACHAD) to contact me about future events and news.
Yes
No
Cheadle child ticket
Quantity
Price:
£ 25.00
Quantity
Friday night dinner, lunch and Saturday night activity!
Cheadle Adult ticket
Quantity
Price:
£ 18.00
Quantity
Friday night dinner
Total
£ 0.00
Credit Card
Card Details
Cardholder Name
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