Application

Please make sure you have read all the details and fees information before you fill in this form.

This form can only be used if you are paying the relevant Conference fee by credit or debit card.

If you are applying for an assisted place you must complete a paper form and attach any relevant documentation (e.g. assisted place form). If you would like a childcare assistance place please call the Limmud Office on 020 8458 7965 for details.

Please fill in all relevant fields (fields marked * are mandatory)

Contact Details    
 Fill in your contact details below, all correspondence will be sent to this address
      Address Address 1 *
Address 2
Address 3
Address 4
Postcode/Zip * Country *
 
      Phone Daytime * Fax 
Evening 
 
      Emergency contact during Conference (must be someone not attending Conference)
Name * Phone *
      Site security
If you are driving to Conference, please
provide your car registration number

 
Participant Details
 
   1   
First Name *
 Surname *
Date of Birth *
Menu option *
(all kosher - details)
  
  E-mail * (must be valid)
 Mobile
 Any special dietary, medical or access requirements?
  Repeat E-mail *
Profession:
Accommodation*: 
 Room options (details)
    (includes Saturday night check-in)
  
Which days will you be attending Conference?
Coaches: To Conference
 From Conference
   2   
First Name *
 Surname *
Date of Birth *
Menu option *
(all kosher - details)
  
  E-mail
Mobile
 Any special dietary, medical or access requirements?
Profession:
Accommodation*: 
 Room options (details)
    (includes Saturday night check-in)
  
Which days will you be attending Conference?
Coaches: To Conference
 From Conference
   3   
First Name *
 Surname *
Date of Birth *
Menu option *
(all kosher - details)
  
  E-mail
Mobile
 Any special dietary, medical or access requirements?
Profession:
Accommodation*: 
 Room options (details)
    (includes Saturday night check-in)
  
Which days will you be attending Conference?
Coaches: To Conference
 From Conference
   4   
First Name *
 Surname *
Date of Birth *
Menu option *
(all kosher - details)
  
  E-mail
Mobile
 Any special dietary, medical or access requirements?
Profession:
Accommodation*: 
 Room options (details)
    (includes Saturday night check-in)
  
Which days will you be attending Conference?
Coaches: To Conference
 From Conference
   5   
First Name *
 Surname *
Date of Birth *
Menu option *
(all kosher - details)
  
  E-mail
Mobile
 Any special dietary, medical or access requirements?
Profession:
Accommodation*: 
 Room options (details)
    (includes Saturday night check-in)
  
Which days will you be attending Conference?
Coaches: To Conference
 From Conference
   6   
First Name *
 Surname *
Date of Birth *
Menu option *
(all kosher - details)
  
  E-mail
Mobile
 Any special dietary, medical or access requirements?
Profession:
Accommodation*: 
 Room options (details)
    (includes Saturday night check-in)
  
Which days will you be attending Conference?
Coaches: To Conference
 From Conference
 





   
   
 
Options
Please specify the number of infant cots you require (£20 each to hire)
 
Reducing Environmental Impact

Each year Conference uses over 67,000 plastic cups. Buying a stylish Limmud travel flask will help us slash that and keep your coffee warm.

This donation will go towards planting indigenous trees in Israel and the costs of other environmental initiatives at Conference.
 
Volunteering
Please consider helping out at Conference
 
 
 
 
 

There will be plenty of opportunities to help at Conference but if you have any specific skills or interests in helping out, please let us know here:
Submit

Click 'Submit' to continue. You will be given a chance to check and confirm your application