Israel Tour Initial Interest 5780

RSY-Netzer Israel Tour interest form 2021/5781

July 2021 (all dates contingent on the changing situation with COVID-19, you will receive an email once provisional dates have been established)
Please let us know your contact information if you would like to be kept updated about RSY-Netzer Israel Tour 2021!

Please note filling out this form does not guarantee you a place on Israel Tour 2021.

If the participant has not attended an RSY-Netzer event before please fill in the entire form. If the participant has previously attended an event then you only need to fill in the compulsory sections.
Has the participant previously attended an RSY-Netzer event? *

Yes No
Parent Full Name *
Email Address *
Child's Name *

First Name Last Name
Date of Birth *

Month Day Year
Date
Phone Number
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Synagogue
School Name
School Year
Should be Empty:

RSY-Netzer Israel Tour interest form 2021/5781