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עברית
العربية
English

About
Events
Music
Donate

English
- עברית(Hebrew)
- العربية(Arabic)

Dor Haba – Video Shoot Event 18.08

Registration for the Dor Haba fellowship and filming day on August 18th.

This form is intended to be filled out by young adults (ages 18-30), parents of teenagers (ages 13-17), and their families who wish to attend the Dor Haba fellowship and filming day on Monday, August 18th. You are welcome to bring a salad or drinks as a contribution to the meal, but it is not required. We will order pizza for everyone! Arrival and gathering at the beach (location will be sent via WhatsApp) at 17:00, filming from 18:00 to 19:30, and a shared dinner on the beach from 19:30 to 21:00.

"*" indicates required fields

Δ

Who is filling out this form?*

Your answer is important!

Young adults 18-30

Parent of a teenager ages 13-17

How many in family are coming?*

Only One

Two

Three

Four

Five

Six

Seven

Eight

Nine

Details of registrant #1*

Taking part in the filming of the music video (yes or no) Telephone Number Age Full Name

Does he/she/you have any allergies/sensitivites to a particular food #1?

Details of registrant #2*

Taking part in the filming of the music video (yes or no) Telephone Number Age Full Name

Does he/she/you have any allergies/sensitivites to a particular food #2?

Details of registrant #3*

Taking part in the filming of the music video (yes or no) Telephone Number Age Full Name

Does he/she/you have any allergies/sensitivites to a particular food #3?

Details of registrant #4*

Taking part in the filming of the music video (yes or no) Telephone Number Age Full Name

Does he/she/you have any allergies/sensitivites to a particular food #4?

Details of registrant #5*

Taking part in the filming of the music video (yes or no) Telephone Number Age Full Name

Does he/she/you have any allergies/sensitivites to a particular food #5?

Details of registrant #6*

Taking part in the filming of the music video (yes or no) Telephone Number Age Full Name

Does he/she/you have any allergies/sensitivites to a particular food #6?

Details of registrant #7*

Taking part in the filming of the music video (yes or no) Telephone Number Age Full Name

Does he/she/you have any allergies/sensitivites to a particular food #7?

Details of registrant #8*

Taking part in the filming of the music video (yes or no) Telephone Number Age Full Name

Does he/she/you have any allergies/sensitivites to a particular food #8?

Details of registrant #9*

Taking part in the filming of the music video (yes or no) Telephone Number Age Full Name

Does he/she/you have any allergies/sensitivites to a particular food #9?

Special permits

Permission to participate in filming*

I give permission for my child(ren) to take part in the filming of the 'Kumi Ori' music video, which will appear on the Dor Haba YouTube channel.

Yes

Yes, but not as a main character in the video

No

Agreement to be filmed*

I agree to be filmed for the music video "Kumi" which will appear on the Dor Haba YouTube channel. I understand and agree that this is a Messianic song and video in which people sing that Yeshua is the Messiah and the Son of God.

Yes

Yes, but not as a main character in the video

No

Parental permission

Marital Status*

Please note, in the case of divorced parents, both parents must still sign the form!

Mother's name*

Or legal guardian

Last Name First Name

Mother's approval*

I give permission for my child(ren), under the age of 18, to participate in the filming of the "Kumi Ori" music video on August 18th. The video will be published on the Dor Haba YouTube. I understand and agree that this is a Messianic song and music video, which includes a declaration that Yeshua (Jesus) is the Messiah and the Son of God.

Mother's signature*

Details of the father*

Or legal guardian

Last Name First Name

Father's approval*

I give permission for my child(ren), under the age of 18, to participate in the filming of the "Kumi Ori" music video on August 18th. The video will be published on the Dor Haba YouTube. I understand and agree that this is a Messianic song and music video, which includes a declaration that Yeshua (Jesus) is the Messiah and the Son of God.

Father's signature*

Cosent regarding faith*

I understand and agree that this is a Messianic song and music video, in which people sing as a declaration that Yeshua (Jesus) is the Messiah and the Son of God.

Signature*

Arrival and return

Parents and siblings, you are invited to come with the youth participating in Dor Haba. We would be happy to meet you, and you are all invited to be in the music video!

How will you as a family or your youth arrive and return?

By private car

By public transportation

My son/daughter will only be able to attend if there is a ride or organized transportation.

How many of your children will join the bus ride if we arrange one?*

We will check the demand from each area and get back to you. If we decide to arrange a bus ride, the cost will be 60 NIS for a round trip (same price for one-way).

From what city? (There and back)*

From where else?

Arrival and return

It would help us a lot if you could arrive and return by private car or public transportation, but we don’t want you to miss the event because you have no way to get there. Therefore, if there is a real need, we would be happy to arrange transportation.

How will you get there and back?

By private car

By public transportation

I can only attend if there is a ride or organized transportation.

From what city? (There and back)*

From where else?

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