JLIC Israel's Alternate Winter Break
Don’t miss your chance to experience Israel like never before through JLIC Israel's Alternate Winter Break!
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number that can receive WhatsApp messages.
Format: (000) 000-0000.
Which JLIC Community are you part of?
*
Please Select
Ariel University
Ben Gurion University
Givat Shmuel - Bar Ilan
Herzliya - Reichman
Jerusalem
Machon lev
Ono Academic College
Sherut Leumi
Tel Aviv Community
Tel Aviv University
Haifa - Technion & University of Haifa
Gender (To help with room assignments)
*
Male
Female
Name of City You're Based In
Medical Conditions We Should Be Aware Of
Allergies / Sensitivities
Alternate Winter Break Trip You Are Registering For
Please Select
Thursday Night, March 5th - Monday Night, March 9th
Wednesday Night, February 25th - Sunday Night, March 1st
Are you registering for this trip individually?
*
Please Select
Yes
No
Register individually and receive a digital 200₪ BuyMe gift card after the trip. Sign up with 3 friends and each participant (in the group of 4) receives a digital 1,000₪ BuyMe gift card after the trip
If you're register as a group of 4, please list the names of the other 3 people you are registering with below
I understand that a staff member from JLIC Israel will contact me to discuss the trip and send me the official registration link to complete payment, and that my spot on the trip is not confirmed until payment is complete.
*
Yes
No
Submit
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