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1
registration level
2
school Information
3
personal Information
4
Account Information
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school join
the programme
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commit to
learning
pirkei avos
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registration level
2
school Information
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personal Information
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Account Information
School Information
School Name:
*
School Logo:
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JPG, JPEG, PNG & GIF files can be used.
School:
*
-- Select One--
Darkei Avos
Testing
Tikva
Tikva School
Test
Tiferes High School London
Tiferes High School Manchester
Menorah High School
Beth Jacob Grammar School for Girls
Hasmonean Grammar
Lauder E-Learning School
Reshit Chochma
Beis Aharon School, Pinsk
Beis Yaakov, Pinsk
Beis Aharon VYisroel, Kiev
Torah Umesorah
Class:
*
-- Select One --
Year 7
Year 8
Year 9
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Year 11
Elementary Year 6
Elementary Year 7
Elementary Year 8
High School Year 9
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High School Year 12
Perek:
*
-- Select One --
Perek Aleph
Perek Beis
Perek Gimmel
Perek Daled
Perek Hay
Perek Vav
Previous Perek:
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Perek Aleph
Perek Beis
Perek Gimmel
Perek Daled
Perek Hay
Perek Vav
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school Information
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Administrator Information
First Name:
*
Last Name:
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Phone Number:
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Additional Phone Number:
Email Address:
*
Parent Information
Address:
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City:
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Postal Code:
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Country:
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-- Select One--
Belgium
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Gibraltar
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Parent Information
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Parent Email:
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Account Information
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Password:
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Re-Type Password:
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Payment Details
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Exp. Month:
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-- Select One--
01-January
02-February
03-March
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05-May
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08-August
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Exp. Year:
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2024
2025
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2033
Security Code:
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Additional Information
Comments:
How Did You Hear About Us?
I accept the
Terms & Conditions
Parent(s)/ Guardian(s), on behalf of the above named: - • We/ I consent to the above Application and to undertakings given by the Applicant. • We/I understand the personal data on this form will be used by the Darkei Avos for the contractual purpose of registering (or re-registering) and maintaining the Applicant’s Membership. • We/I understand that the personal data will be retained by the Darkei Avos and the Association for such period as the Applicant’s membership subsists and for a reasonable period thereafter. • We/I understand that I can resign the Applicant’s Membership by writing to Darkei Avos or the Association and their Personal Data will then be erased except where Darkei Avos has a clear justification to retain such Personal Data (e.g. for the child safeguarding purposes). • We/I understand that the Applicant’s Personal Data will also be used for administration purposes to maintain their Membership including Darkei Avos and team administration, registration, team sheets, and statistical purposes. • We/I understand that if I do not provide the Applicant's Personal Data their membership cannot be registered with the Darkei Avos. DATA PROTECTION I have read the important Data Protection information on this form and have given my consent, by ticking the boxes and signing below, for my information to be used as follows: (Please tick as appropriate) • To provide me on my own behalf and on behalf of my child with updates regarding Darkei Avos. I am aware that my child’s photograph or video image may be taken whilst attending or participating in games or activities connected with Darkei Avos and I consent to it being used on our website and brochure. I consent to the following methods of communication: ο Email ο SMS text message ο WhatsApp or similar ο Other I understand that I can withdraw my consent at any time by writing to Darkei Avos. I understand my rights under the Data Protection Legislation, as outlined on this form.
I accept the the above waiver and release
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