Protecting Jewish Life And Jewish Way Of Live

Event/Outing Request Form

This form must be completed and submitted to the CSO office a minimum of 4 weeks prior to the event. Please complete the form as accurately as possible.

Group Information

School and Grade(Required)

Outing Venue(Required)

Date of Outing(Required)

Time of Outing(Required)

Time of departure from school(Required)

Time of departure from venue(Required)

Number of learners(Required)

Number of teachers(Required)

Teachers and contact details

Drop files here or

Accepted file types: excel, pdf, csv, Max. file size: 128 MB.

Upload your list of names and cell phone numbers of all teachers

Venue Information

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Venue landline number(Required)

Contact person on site(Required)

First Last

Phone(Required)

Security Manager on site

First Last

Phone

Medical personnel on site (clinic, nurse etc)

First Last

Phone

Medical Information

List any children with allergies

Drop files here or

Accepted file types: excel, pdf, csv, Max. file size: 128 MB.

Indicate the allergy as well as the treatment

Teacher in charge of first aid kit(Required)

First Last

General

Has this event been publicised? If so, please state where?(Required)

Are any media expected to attend?

Accepted file types: excel, pdf, csv, Max. file size: 128 MB.

If so, please provide a media list with contact details

Date of completion(Required)

Completed by(Required)

First Last

Phone(Required)

Email(Required)

Additional Comments

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Protecting Jewish Life And Jewish Way Of Live

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Event/Outing Request Form

Group Information

Venue Information

Medical Information

General