March of the Living Australia is proud to offer 3 Programs – a Year 11 Student program, an Adult program and the latest addition to our range of Programs – a Young Adult program (for 20-35 year olds).

If you are interested in any of these programs you can find more information here

On 27 January 2019, Emma Jaffa and Becky Abramovich, two participants from the 2018 Student program, took part in the United Nations' International Holocaust Remembrance Day ceremony in Melbourne, held at the Glen Eira Town Hall.

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Doctors Report Form

To be completed by a licensed medical practitioner who is the participant’s regular GP and who is familiar with the participant’s health history. It is not acceptable for the completing practitioner to be an immediate family member of the applicant.

Your Name (Doctor):

Address:

Phone:

Significant past or current illnesses that may have bearing on the applicant’s health while he/she is away:

Past or current emotional / psychological / well-being issues we should be made aware of that may have bearing on the applicant’s well-being while he/she is away:

Medications: If the applicant suffers from Asthma please state clearly the recommended Asthma Plan. Can the applicant self administer all medications? Please indicate all medications the applicant is currently on including dosage as well as those medications the applicant cannot self administer and will need to be administered by MOTL doctors:

Dietary Restrictions:

Restrictions on physical activity:

General recommendations for this applicant:

Vaccinations

Please discuss the following and advise as you feel appropriate. Please record dates of any vaccinations if known.

ADT- Diptheria / Tetanus Booster:

Chicken Pox - Varicella:

Hepatitis B:

Hepatitis A:

Influenza:

Meningococcus Type C:

Measles / Mumps / Rubella:

Typhoid:

Overall Recommendation

I have read the applicant's Medical Form and I have examined

(patient’s name)
whom I have known for:

(years)

In my opinion, the applicant is physically, mentally and emotionally capable of participating in the March of the Living program:

Yes

MOTL Programs

United Nation Holocaust Remembrance Day - 27 January

Registration / Application for STUDENTS (current Year 10) MOTL 2019 Program

Registration / Application for Young Adult (20-35) MOTL 2019 Program

Registration / Application for Adult MOTL 2019

30th Anniversary

Follow March of the Living on social media:

Doctors Report Form

Vaccinations

Overall Recommendation