Rebuilding Hope 2022 - Booking form
Tuesday 19 to saturday 30 April 2022

Each trip participant needs to complete a form.
Please complete all sections of the form
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Essential Information
Click the link to see the essential information document for this trip.  Please read this carefully before proceeding to complete the booking form. https://www.amostrust.org/amos-travel/rebuilding-hope-2022-essential-information/
Agreement *
I confirm that I have read and understood the essental 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)
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
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 *
(format xxxxx xxxxxx)
Contact number (non UK)
If applicable
Home address *
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 required *
We will be staying in hotels or guesthouses and may spend some time staying in a local community.  The cost of the trip includes sharing a twin room (double room for couples).  Single rooms may be available at extra cost for all or part of the trip depending on where we are staying.  Please indicate if you would need a double or twin room and also if you would prefer a single room is they are available.  The cost of this option is £250.
Required
Roommate name
If you are travelling with someone for sharing your double or twin room
Health
Please let us know about any health conditions that will affect your involvement in the trip and the rebuilding work.
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.  
How & why? *
Please briefly tell us why you want to travel with us on this trip and how you heard about it
Relevant skills
Please  let us know about any skills or experience you have such as building/construction expertise, 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 contact 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
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