Shemesh Taster Day Registration
Register your attendance for the Southern Shemesh Taster Day on Tuesday May 26th, 2:00 PM - 5:00 PM, North London location
Participant's Full Name
*
First Name
Last Name
Participant's Date of Birth
*
/
Day
/
Month
Year
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Phone Number
*
Parent/Guardian Email Address
*
What year is your child in?
Which taster day would you like to attend?
*
Please Select
London (26/05)
Manchester (28/05)
Please list any allergies, medical conditions, or special requirements
Do you give permission for us to administer the following medications?
*
Antihistamine
Antiseptic cream
Antiseptic wipes
Diarrhoea relief
Ibuprofen
Indigestion relief
Paracetamol
Plasters
Throat lozenges
RSY-Netzer operates an 'opt-in' system for photographs. Please tick as many options as apply:
I give permission for RSY to take photos of the participant
I give permission for RSY to post photos of the participant on social media
Register
Should be Empty: