• Registration

    For the best user experience we recommend completing this form using a computer.
  • PARTICIPANT INFORMATION


  • Birth Date*
     - -
  • Format: (000) 000-0000.
  • Expiration Date*
     - -
  • Please check the size of sweatshirt you would like
  • PAYMENT AND TRIP COST

  • Options

    Categories:All
    All
    Optional add-ons
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            $500 deposit, per person, due today (fees apply)

            $500 per person, is due by August 15, 2025. Select your preferred method of payment for the remaining balance below. (Note: the $500 deposit is refundable until September 12, 2025.)

            $500.00$500.00
              
            Optional add-ons
            *Single Supplement — 675

            If you prefer a single room, without a roommate, please select this option.

            $675.00$675.00
              
            Pledge your gift to the 2026 UJA Annual Campaign

            This mission welcomes individuals and/or households who make a minimum gift of $10,000 to the 2026 UJA Annual Campaign. Your annual gift supports Federation’s lifesaving work around the globe and at home in New Jersey. Pledges to the 2026 UJA Annual Campaign are payable through December 31, 2026.

            $1.00$1.00

            Item subtotal:$0.00$0.00
              
            Subtotal
            $0.00$0.00
            Tax
            $0.00$0.00
            Total
            $0.00$0.00

            Debit or Credit Card
          • TRAVEL AND ACCOMMODATIONS

          • Designated Flights:

            Newark, NJ to Tel Aviv, Israel departing on Sunday, November 9, 2025
            El Al #LY28 — Newark (EWR) • 9 NOV 1:15 PM ✈ 6:35 AM 10 NOV •  Ben Gurion (TLV)


            Tel Aviv, Israel to Newark, NJ departing on Friday, November 14, 2025
            El Al #LY27 Ben Gurion (TLV)  • 14 NOV 1 AM ✈ 6 AM. 14 NOV • Newark (EWR)

          • Participants are responsible for coordinating and booking their own flights. Please select one of the following options:
          • Rows
          • Roommate (select one)*
          • Bed type with preferred roommate*
          • EMERGENCY CONTACT INFORMATION

            Do not include someone who is on the trip with you
          • Format: (000) 000-0000.
          • SIGNATURE AND AGREEMENTS

            IMPORTANT: Must be completed for each participant included in this registration
          • Date
             - -
          • Your signature above confirms you have read and understand the release forms and information below.*
          • Should be Empty: