If you are sending more than one child on an event, please complete this form once only . Do not submit additional forms for other siblings.
The information provided in this form will be seen only by Becca Fetterman (Director of Youth Students and Young Adults) and Shelley Shocolinsky-Dwyer (Director of operations), plus other Liberal Judaism staff on a strict need-to-know basis. The information will be held in confidence and destroyed after the event.
If you have any questions about completing the form, please contact Becca Fetterman in confidence on 020 7631 9831 or firstname.lastname@example.org.