Palestine Experience May 2022 - Booking form
Tuesday 03 to Friday 13 May 2022

Please complete all sections of the form - each trip participant needs to complete a form.
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Essential Information
Thank you for your interest in joining this trip.  The first thing you need to do is follow the link below to read the essential information for this trip.  You should read this carefully before completing the booking form.

Click https://www.amostrust.org/palestine-experience-2022-essential-information to access the essential information

Agreement *
I confirm that I have read and understood the essential information.
Required
Data Protection
Amos Trust has a comprehensive privacy policy which we strongly recommend you read https://www.amostrust.org/privacy-policy/ 

As part of planning and operating this trip we will be sharing some of the participants' personal data with our local partners in Palestine.  This information will include names, genders and dates of birth.  We will not share more personal data than is necessary to deliver the trip and we will not allow our partners or any other third party to contact participants for marketing purposes without them specifically opting in to receive such material.

We are aware that some of the information we are collecting in this form is classified as sensitive under the terms of the General Data Protection Regulation (GDPR), namely the information provided about health.  We will only share this information if it becomes necessary to do so in a participant's vital interest and we will only retain this information until the end of the trip and then remove it from our records.

Your personal details
Family name (surname) *
as per passport
First name *
as per passport
Middle name(s)
as per passprt - leave blank if none
Gender *
Title *
Dietary requirements
Tick all that apply
Passport issuing country *
as per passport
Passport number *
as per passport
Nationality *
as per passport
Date of birth *
MM
/
DD
/
YYYY
Passport issue date *
MM
/
DD
/
YYYY
Passport expiry date *
Your passport must be valid for at least 6 months from the date of entry into Israel. Please let us know if you will need to get a new passport before the trip.
MM
/
DD
/
YYYY
Passport stamps *
Please list all the stamps in your passport. If you have no stamps please enter none. We may contact you about this question.
Your contact details
email address *
Preferred name
(If different from your first name)
Mobile number *
Contact number (non UK)
If applicable
Home address *
Other information
Flights *
Please confirm if you intend to arrange your own flights for the trip. If you select this option, we will assume you understand the financial and logistical implications of this, as per the trip essential information.
Accommodation *
Two individuals of the same gender sharing a twin room or a couple sharing a double or twin room are included in the trip cost. Please indicate your room preference noting that single rooms may be available but will cost an additional £200.
Roommate name
If you are travelling with someone for sharing your double or twin room
Health
Please let us know about on-going health or mobility issues that the trip leaders should be aware of
Previous trips *
Have you travelled to Israel or Palestine before? If yes, please briefly tell us about your previous trip/s including if it was organised by Amos Trust. If this will be your first visit, please put no.  
Why & How? *
Please briefly tell us why you want to travel with us on this trip and how you heard about it
Other skills
Please  let us know about any skills or experience you have such as Hebrew, Arabic, medical qualifications, logistics planning or first aid training
Emergency contact details
Name of person to contact in emergency *
Your relationship with them *
Their email address
Their mobile number *
UK mobile preferred
Their landline number
Contact preferences
Group information sharing *
Are you happy for us to share your email address and/or your mobile number with the other participants on the trip to enable lift sharing to & from the airport etc.?
Trip WhatsApp group *
Are you happy to join a WhatsApp group for the trip participants? This will be used to share information during the trip and groups often use them to stay in touch and share information afterwards. You can leave a WhatsApp group whenever you want.
Further contact *
Please tick to show what ongoing communications you would like to receive from Amos Trust.  You can choose more than one option.
Required
Now please press "Submit" to send us your form and pay your deposit
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