StandWithUs VIP Mission 2024 Registration Form

StandWithUs Mission 2024 - Registration Form
Welcome to our online form!

This form will enable you to provide information such as flights, as well as request extra services such as additional hotel nights, etc.

If you do not have all of the information you may click next to save the form and continue at a later date.
How many participants will you be?
PERSONAL INFORMATION
Participant #1 - Title
Participant #1 - Name (as it appears on passport)

First NameLast Name
Participant #1 - Name to be printed on nametags

First NameLast Name
Participant #1 - Email address
example@example.com
MaleFemale
Participant #1 - Date of Birth

MonthDayYear
Date
Participant #1 - Country of Birth
Participant #1 - Mobile Phone Number
Participant #1 - Occupation
Participant #1 - Name of Company
Participant #1 - Some of the higher-ranking Israeli officials request a list of participants and their short biographies before meeting with any group. Please let us know a bit about yourself, including any notable accomplishments (I.e. awards, works published, other recognition), roles in non-profits and/or charities (I.e. volunteer, board member, donor) or any other relevant information.
Participant #1 - Religious affiliation
NoYes
Participant #1 - if you have been to Israel before, please describe in what capacity
Participant #1 - Allergies or medical issues
Participant #1 - Food issues or sensitivities (if relevant)
Participant #1 - Emergency Contact

First NameLast Name
Participant # 1 - Relationship to Emergency Contact
Participant #1 - Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Participant #1 - Emergency Contact Email
example@example.com
TERMS & CONDITIONS AND HOLD HARMLESS AGREEMENT

We are so excited that you are interested in participating in a StandWithUs Mission! In the document below, you will find the official Terms & Conditions, Safety & Emergency Policies, and Hold Harmless Agreement. Please read through the entire document carefully, and click the appropriate box on the registration form to agree to abide by these terms, conditions, and policies.
Participant #2 - Title
Participant #2 - Name (as it appears on passport)

First NameLast Name
Participant #2 - Name to be printed on nametags

First NameLast Name
Participant #2 - Email address
example@example.com
MaleFemale
Participant #2 - Date of Birth

MonthDayYear
Date
Participant #2 - Country of Birth
Participant #2 - Mobile Phone Number
Participant #2 - Occupation
Participant #2 - Name of Company
Participant #2 - Some of the higher-ranking Israeli officials request a list of participants and their short biographies before meeting with any group. Please let us know a bit about yourself, including any notable accomplishments (I.e. awards, works published, other recognition), roles in non-profits and/or charities (I.e. volunteer, board member, donor) or any other relevant information.
Participant #2 - Religious affiliation
NoYes
Participant #2 - if you have been to Israel before, please describe in what capacity
Participant #2 - Allergies or medical issues
Participant #2 - Food issues or sensitivities (if relevant)
Participant #2 - Emergency Contact

First NameLast Name
Participant #2 - Relationship to Emergency Contact
Participant #2 - Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Participant #2 - Emergency Contact Email
example@example.com
TERMS & CONDITIONS AND HOLD HARMLESS AGREEMENT

We are so excited that you are interested in participating in a StandWithUs Mission! In the document below, you will find the official Terms & Conditions, Safety & Emergency Policies, and Hold Harmless Agreement. Please read through the entire document carefully, and click the appropriate box on the registration form to agree to abide by these terms, conditions, and policies.
Participant #3 - Title
Participant #3 - Name (as it appears on passport)

First NameLast Name
Participant #3 - Name to be printed on nametags

First NameLast Name
Participant #3 - Email address
example@example.com
MaleFemale
Participant #3 - Date of Birth

MonthDayYear
Date
Participant #3 - Country of Birth
Participant #3 - Mobile Phone Number
Participant #3 - Occupation
Participant #3 - Name of Company
Participant #3 - Some of the higher-ranking Israeli officials request a list of participants and their short biographies before meeting with any group. Please let us know a bit about yourself, including any notable accomplishments (I.e. awards, works published, other recognition), roles in non-profits and/or charities (I.e. volunteer, board member, donor) or any other relevant information.
Participant #3 - Religious affiliation
NoYes
Participant #3 - if you have been to Israel before, please describe in what capacity
Participant #3 - Allergies or medical issues
Participant #3 - Food issues or sensitivities (if relevant)
Participant #3 - Emergency Contact

First NameLast Name
Participant #3 - Relationship to Emergency Contact
Participant #3 - Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Participant #3 - Emergency Contact Email
example@example.com
TERMS & CONDITIONS AND HOLD HARMLESS AGREEMENT

We are so excited that you are interested in participating in a StandWithUs Mission! In the document below, you will find the official Terms & Conditions, Safety & Emergency Policies, and Hold Harmless Agreement. Please read through the entire document carefully, and click the appropriate box on the registration form to agree to abide by these terms, conditions, and policies.
Participant #4 - Title
Participant #4 - Name (as it appears on passport)

First NameLast Name
Participant #4 - Name to be printed on nametags

First NameLast Name
Participant #4 - Email address
example@example.com
MaleFemale
Participant #4 - Date of Birth

MonthDayYear
Date
Participant #4 - Country of Birth
Participant #4 - Mobile Phone Number
Participant #4 - Occupation
Participant #4 - Name of Company
Participant #4 - Some of the higher-ranking Israeli officials request a list of participants and their short biographies before meeting with any group. Please let us know a bit about yourself, including any notable accomplishments (I.e. awards, works published, other recognition), roles in non-profits and/or charities (I.e. volunteer, board member, donor) or any other relevant information.
Participant #4 - Religious affiliation
NoYes
Participant #4 - if you have been to Israel before, please describe in what capacity
Participant #4 - Allergies or medical issues
Participant #4 - Food issues or sensitivities (if relevant)
Participant #4 - Emergency Contact

First NameLast Name
Participant #4 - Relationship to Emergency Contact
Participant #4 - Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Participant #4 - Emergency Contact Email
example@example.com
TERMS & CONDITIONS AND HOLD HARMLESS AGREEMENT

We are so excited that you are interested in participating in a StandWithUs Mission! In the document below, you will find the official Terms & Conditions, Safety & Emergency Policies, and Hold Harmless Agreement. Please read through the entire document carefully, and click the appropriate box on the registration form to agree to abide by these terms, conditions, and policies.
Participant #5 - Title
Participant #5 - Name (as it appears on passport)

First NameLast Name
Participant #5 - Name to be printed on nametags

First NameLast Name
Participant #5 - Email address
example@example.com
MaleFemale
Participant #5 - Date of Birth

MonthDayYear
Date
Participant #5 - Country of Birth
Participant #5 - Mobile Phone Number
Participant #5 - Occupation
Participant #5 - Name of Company
Participant #5 - Some of the higher-ranking Israeli officials request a list of participants and their short biographies before meeting with any group. Please let us know a bit about yourself, including any notable accomplishments (I.e. awards, works published, other recognition), roles in non-profits and/or charities (I.e. volunteer, board member, donor) or any other relevant information.
Participant #5 - Religious affiliation
NoYes
Participant #5 - if you have been to Israel before, please describe in what capacity
Participant #5 - Allergies or medical issues
Participant #5 - Food issues or sensitivities (if relevant)
Participant #5 - Emergency Contact

First NameLast Name
Participant #5 - Relationship to Emergency Contact
Participant #5 - Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Participant #5 - Emergency Contact Email
example@example.com
TERMS & CONDITIONS AND HOLD HARMLESS AGREEMENT

We are so excited that you are interested in participating in a StandWithUs Mission! In the document below, you will find the official Terms & Conditions, Safety & Emergency Policies, and HoldHarmless Agreement. Please read through the entire document carefully, and click the appropriate box on the registration form to agree to abide by these terms, conditions, and policies.
PASSPORT INFORMATION
Participant #1 - Passport Number
Participant #1 - Passport Country
Participant #1 - Passport Expiration Date

MonthDayYear
Please ensure that your passport is valid for at least 6 months beyond the tour dates
Participant #1 - Scanned copy of your passport photo and information page

Cancelof
Participant #2 - Passport Number
Participant #2 - Passport Country
Participant #2 - Passport Expiration Date

MonthDayYear
Please ensure that your passport is valid for at least 6 months beyond the tour dates
Participant #2 - Scanned copy of your passport photo and information page

Cancelof
Participant #3 - Passport Number
Participant #3 - Passport Country
Participant #3 - Passport Expiration Date

MonthDayYear
Please ensure that your passport is valid for at least 6 months beyond the tour dates
Participant #3 - Scanned copy of your passport photo and information page

Cancelof
Participant #4- Passport Number
Participant #4 - Passport Country
Participant #4 - Passport Expiration Date

MonthDayYear
Please ensure that your passport is valid for at least 6 months beyond the tour dates
Participant #4 - Scanned copy of your passport photo and information page

Cancelof
Participant #5- Passport Number
Participant #5 - Passport Country
Participant #5 - Passport Expiration Date

MonthDayYear
Please ensure that your passport is valid for at least 6 months beyond the tour dates
Participant #5 - Scanned copy of your passport photo and information page

Cancelof
INSURANCE POLICY
Participant #1 - Insurance policy

Cancelof
Participant #2 - Insurance policy

Cancelof
Participant #3 - Insurance policy

Cancelof
Participant #4 - Insurance policy

Cancelof
Participant #5 - Insurance policy

Cancelof
ARRIVAL FLIGHT INFORMATION
Participant #1 - Arrival Airline
Participant #1 - Arrival Flight Number
Participant #1 - Arrival Date (in Israel)

MonthDayYear
Date
Participant #1 - Arrival Time

Hour Minutes

AM/PM Option
Participant #2 - Arrival Airline
Participant #2 - Arrival Flight Number
Participant #2 - Arrival Date (in Israel)

MonthDayYear
Date
Participant #2 - Arrival Time

Hour Minutes

AM/PM Option
Participant #3 - Arrival Airline
Participant #3 - Arrival Flight Number
Participant #3 - Arrival Date (in Israel)

MonthDayYear
Date
Participant #3 - Arrival Time

Hour Minutes

AM/PM Option
Participant #4 - Arrival Airline
Participant #4 - Arrival Flight Number
Participant #4 - Arrival Date (in Israel)

MonthDayYear
Date
Participant #4 - Arrival Time

Hour Minutes

AM/PM Option
Participant #5 - Arrival Airline
Participant #5 - Arrival Flight Number
Participant #5 - Arrival Date (in Israel)

MonthDayYear
Date
Participant #5 - Arrival Time

Hour Minutes

AM/PM Option
DEPARTURE FLIGHT INFORMATION
Participant #1 - Departure Airline
Participant #1 - Departure Flight Number
Participant #1 - Departure Date

MonthDayYear
Date
Participant #1 - Departure Time

Hour Minutes

AM/PM Option
Participant #2 - Departure Airline
Participant #2 - Departure Flight Number
Participant #2 - Departure Date

MonthDayYear
Date
Participant #2 - Departure Time

Hour Minutes

AM/PM Option
Participant #3 - Departure Airline
Participant #3 - Departure Flight Number
Participant #3 - Departure Date

MonthDayYear
Date
Participant #3 - Departure Time

Hour Minutes

AM/PM Option
Participant #4 - Departure Airline
Participant #4 - Departure Flight Number
Participant #4 - Departure Date

MonthDayYear
Date
Participant #4 - Departure Time

Hour Minutes

AM/PM Option
Participant #5 - Departure Airline
Participant #5 - Departure Flight Number
Participant #5 - Departure Date

MonthDayYear
Date
Participant #5 - Departure Time

Hour Minutes

AM/PM Option

StandWithUs Mission 2024 - Registration Form

TERMS & CONDITIONS AND HOLD HARMLESS AGREEMENT

TERMS & CONDITIONS AND HOLD HARMLESS AGREEMENT

TERMS & CONDITIONS AND HOLD HARMLESS AGREEMENT

TERMS & CONDITIONS AND HOLD HARMLESS AGREEMENT

TERMS & CONDITIONS AND HOLD HARMLESS AGREEMENT

INSURANCE POLICY

ARRIVAL FLIGHT INFORMATION

DEPARTURE FLIGHT INFORMATION

Payment