Clone of Clone of Tochnit Nissan 2025

Tochnit nissan 2026 Application Form

Please fill in the form below
Tochnit Nissan 5786

Choose from two meaningful tracks to spend your Bein Hazmanim in Eretz Yisrael

Learning Track
Spend your Bein Hazmanim learning at TVA, with three full sedarim each day in a focused and inspiring beit midrash environment.

Dates
March 22 – March 30
Cost
$599

Sar-El Track
Volunteer on an IDF army base, helping soldiers and units prepare for Pesach through meaningful hands-on support.

Dates
March 22 – March 26
Cost
$450

Register today: bneiakiva.org/nissan
Questions? office@bneiakiva.org
Personal Information
Full Name*

First NameLast Name
Cell Phone Number*

Area CodePhone Number
WhatsApp Number*
Date of Birth*

MonthDayYear
Date
E-mail*
Gender*
School/Program in Israel*
Passport Number*
Nationality*
Moshava Attended*
What do you hope to experience on Tochnit Nissan?*
List up to 3 friends that you wish to be placed with (Please note that this is a program placement request, not a rooming request.)
Sarel - ArmyYTVA Learning - BoysMTVA Learning - Girls
Medical & Dietry Information
Medical Insurance Provider*
Medical Insurance Number*
Please list any dietary restrictions. *
Please list any relevant allergies or medical concerns that we should know about.*
Parent Contact Details
Parent Guardian 1 Name*

First NameLast Name
Parent Guardian 1 Email*
example@example.com
Parent Guardian 1 Phone Number*

Area CodePhone Number
Parent Guardian 2 Name

First NameLast Name
Parent Guardian 2 Email
example@example.com
Parent Guardian 2 Phone Number

Area CodePhone Number
- I am aware that I am expected to act in according with the Bnei Akiva values of Derech Eretz and Shmirat Halacha, and any action in violation of such, including causing physical, verbal, or emotional harm, can be grounds for non-refundable termination of participation
- I am aware that participation in the program is confirmed only after payment, and after March 8th registration and payment will be closed. In addition any cancellation after this date will incur a $150 fee
Payment Details
Thank you for taking interest in Tochnit Nissan. We will follow up to collect payment shortly

Your application will be reviewed.
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Tochnit nissan 2026 Application Form