AIPAC Policy Conference 2018 (High School)
We are delighted to offer special pricing for this incredible trip to Washington D.C., with a very generous contribution from the Temple Beth Zion Foundation. Because of this contribution, Temple Beth El teenagers and non-members are invited to attend this meaningful conference.

You should only fill out this form if you are a current high school student applying to attend Policy Conference as an AIPAC High School Delegate at a $800 subsidized rate.

In order to apply to attend Policy Conference at a subsidized rate, you must complete the following form. This is a two-step process- after applying, you will receive an email from Martin Volinsky (Jewish Teen Initiative) letting you know next steps to register at your subsidized rate of $800.

Spaces will be given out on a first come first serve basis. Reserve your spot today!
(This is guaranteed to sell out due to limited availability)

*Any teens over the age of 16, will need a government issued ID to board a flight.

Full Name *
Your answer
Date of Birth *
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DD
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High School *
Your answer
Current Grade *
Home Address *
Street, City, State, Zip Code
Your answer
Cell Phone Number (Teen) *
Your answer
Personal Email Address (Teen) *
Your answer
Emergency Contact Info (Parent) *
Full Name, Phone Number, Email Address
Your answer
Are you affiliated with a synagogue? If yes, please list which one? *
Your answer
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