1. About you

If you would like to be kept informed of Jewish events, activities and interests that are planned to take place during the Olympic Games, or if you require any other specific information, please let us have your name and email address in the boxes below.
Name

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* 1. Name

Email address

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* 2. Email address

What is your gender?

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* 3. What is your gender?

What is your age range

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* 4. What is your age range

What is your home country

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* 5. What is your home country

What is your main language?

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* 6. What is your main language?

How well do you:

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* 7. How well do you:

  Not at all A little Fluently
understand English?
speak English?
Do you have a physical disability? If so, please describe below.

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* 8. Do you have a physical disability? If so, please describe below.

T