To apply for The Zone Year 7, please fill out the form below Childs detailsChild Surname: *Child Forenames: *Would like to be known as (optional): Hebrew Name: *Child's Home Address: *Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)CongoCosta RicaCote d\'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalestinian TerritoryPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWestern SaharaWestern SamoaYemenZambiaZimbabweCountryHome Phone Number: *Date of Birth: * Parents detailsMother: Title, Forename and Surname: *Father: Title, Forename and Surname: *Mother's Email: *Mother's Mobile Number: *Father's Email: *Father's Mobile number: *Which e-mail would you like Zone correspondence to go to? MothersFathersBothContact Details – Do you give us your permission to share your basic contact details (name and home phone number) with the other parents in your child’s class? *YesNoAre you members of a synagogue? *YesNoIf yes, which one? Date of parents' marriage and name of officiating Synagogue where marriage took place: * Additional detailsChild's primary school: *Child's secondary school: *Cheder attended: (if relevant) Does your child have any significant medical requirements/allergies? *Does your child have any significant needs (educational/developmental/social)? *We like to take photographs/videos of the children during their learning experiences for use in displays, publications and our website for promotional purposes. We would be grateful if you can agree to this. *I agreeI do not agreeI will be sending payment for: *Please note there is a discount of £48 if payment for the full year is made now; there is also an overall discount of 5% for members of HGSS and Highgate who sign up for the full year.Year 7: £425 for full year (for HGSS and Highgate members)Year 7: £450 for full year (for non-HGSS/Highgate members)Year 7: £249 for 1st term only (with a further £249 then payable for 2nd term)Please tick if you are happy to receive information about The Zone, the volunteering programme Project ImpACT and other related youth events. YesWe will confirm by email whether your child has been offered a place on the Year 7 programme. This email will contain information about how to make the relevant payment. VerificationPlease enter any two digitsExample: 12This box is for spam protection - please leave it blank: