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ALYN 2024 Night Hike
Hikers pay a 200 NIS registration fee and commit to raising 2,000 NIS for the children treated at ALYN.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
City
T-Shirt Size
*
Please Select
Small
Medium
Large
Extra Large
2XL
Emergency Contact
*
First Name
Last Name
Emergency Contact Phone
*
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Fundraising Minimum is 2,000 NIS per hiker. Would you like to aim for a higher goal? (Just write the amount below.)
ID Number (TZ for Israelis, Passport for others)
*
Date of Birth
*
-
Month
-
Day
Year
Date
Prescriptions/Allergies (if none, please write none)
Medical Conditions (if none, please write none)
Anything you would like us to know?
Transportation
Please Select
I will drive my own car
I would like to take the bus from ALYN in Jerusalem.
Please verify that you are human
*
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