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December 2024 - Day Retreat Form
Unique ID
Applicant Name
(Required)
First
Last
Applicant Phone
Applicant Email
(Required)
Date of Birth
(Required)
DD slash MM slash YYYY
Check correct Date of Birth ⚠
Hidden
Teen Age
Do you have any dietary requirements, allergies/intolerances?
(Required)
No
Yes
Please Specify
Parent/Guardian Name
First
Last
Emergency Contact Number
Do you suffer from any medical conditions?
(Required)
No
Yes
Please specify medical condition and treatment if any.
Tabgha Foundation collects and processes personal data in accordance with local and EU Data Protection Laws.
Tabgha Foundation
55, San Gorg Preca Street, Hamrun HMR 1600, Malta
Tel: +356 21241010
Fax: +356 21241155
Email: info@youthfellowship.org
Website: youthfellowship.org
May we gently remind you to bring with you, on the day, the originally signed
Parental Consent Form
(if applicable) as well as a €5 contribution towards the food.
Consent
(Required)
I agree that this data may be used for the purposes of notification of the latest updates including meetings, upcoming events, etc.
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