SHANA 13 Registration
Please use this form to register and select your payment option for SHANA 13. More information and FAQs about the program can be found at https://www.habonimdror.org/shana/. Please reach out to Hilla at maapilim@habonimdror.org if you have any more questions!
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First Name *
Last Name *
Pronouns 
Birthday *
MM
/
DD
/
YYYY
Email Address *
Phone Number *
Machaneh *
Required
Location of Residence *
Please write the city where you are currently living.
Post-Secondary Plans *
Please write the name of the post-secondary institution or gap year program you are currently attending or what you are doing this year.
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