*Free Trip to Poland! March 16, 2020 (ages 20-36)
The Trip of a Lifetime! *Deposit (non refundable) $650. This 7 day trip (March 16-22) costs close to $2,500
Full Name
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First Name
Last Name
Cell Number (This is kept confidential.)
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E-mail (We do not share this info)
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Which High Schools and Colleges have you attended? (Please list all)
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What is your profession?
How would you describe your Jewish affiliation
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Unaffiliated
Reform
Orthodox
Conservative
What's your age?
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Is your Mother Jewish
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Yes, by conversion
No
Yes, she was born Jewish
Which other Jewish Trips have you been on? Please list all organizations/ trips
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How did you hear about us?
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Google
FB
Email
Other
I certify that all information I provided is 100% accurate.
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Yes, it is all 100% accurate.
No.
I understand that to qualify for this very reduced trip, I will be required to attend 2 hours sessions of Jewish study for 5 consecutive Sundays at our Midwood location.
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Yes, thank you for this opportunity!
No thanks, I would rather pay the full price.
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