DC Sign Up | Weekaway Trips

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Washington D.C. - July 2024

$2,499

Please fill out the application below. After submission our office will review the application. If approved our office will reach out regarding payment and the next steps. Looking forward to a trip of a lifetime!

Participant Information

First name

Last name

DOB

Current Yeshiva/School

Current Rebbi

Rebbi Phone Number

Have you previously been on a "Weekaway Trips" trip before?

Yes

No

If Yes, Which one(s)

Why do you want to come on our trip?

Is there anything you are worried about for the trip?

Family Information

Home Address

Home Phone

Parent #1*

First name

Last name

Email

Phone

Occupation

Parent #2

First name

Last name

Email

Phone

Occupation

Medical & Emergency Contact

Upon application approval, Medical and Emergency Contact information will be submitted through the registration form

I accept terms & conditionsView terms of application

Thank you for your application. Our office will be in touch regarding the next steps.

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