Teen Trip to Israel Interest Form

Interest Form | 2024 Teen Trip to Israel

(Grades 8-12)

IMPORTANT: Please begin the passport process if you have not already.

Name

Date of Birth

Gender

Current Grade

School:

Synagogue Affiliation

Cell Phone Number

Passport Status

Fitness to Participate

I hereby represent that Participant is physically and emotionally able to participate in the Trip and has no health or behavior problems, which would present a risk to the Participant or other participants in participating in this Mission.
Please reach out to me to discuss.

Name

Cell Phone Number

Address

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