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BJX ISRAEL Trip Application
Have a Incredible, Fun Time. Explore your Jewish Heritage. May 29-June 14th
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First name? *
Last name? *
Your email? *
We keep all info private
Please type your full address: *
All info is kept strictly confidential.
What's your cell #? *
We may need to reach you. We promise that we won't share it:-)
How did you find out about this? *
Which High School(s) and college are you attending? *
Is your mother Jewish? *
We do not share any of your information.
What are your hobbies? Did you receive any awards/scholarships? *
We do not share any of your information.
Which birthright trip did you go on? *
Are you currently taking any medication? If yes, please detail *
What is your Jewish affiliation? *
Are you currently affiliated with any Jewish organizations or educational programs? *
Email photo to *
What's your dob? *
Upon acceptance a $50 non-refundable deposit will be required. *
To qualify for this fun and Free trip, you must attend 6 fascinating classes each Thursday 8:30pm on Jewish History, philosophy etc at our Ave. K location (1.5 hours each) and must join an exciting group weekend Shabbaton (you will be wined and dined!!) *
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