MOROCCO 2025 Trip to MOROCCO WINTER 2025 REGISTRATION Dec 24 - Jan 3 $2500 all included Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *EmailConfirm EmailSex *MALEFEMALEAre you Shomer Shabbat? *Age *Cell Number *AddressTRAVEL INFORMATION: Date of Birth-MM/DD/YYYY *MM/DD/YYYYCountry of Citizenship *Passport Number *EXACT name on passport *Expiry Date *mm/dd/yyyyFAMILY BACKGROUND: Mother's Name *FirstLastMother's emailEmailConfirm EmailMother's PhoneMother's OccupationFather's Name *FirstLastFather's EmailFather's PhoneFather's OccupationParent's Marital StatusWas Your Mother Born Jewish? *YesNoWas Your Father Born Jewish? *YesNoWere ALL Your Grandparents Born Jewish? *YesNoIf NO Give Details Here:EDUCATION: University / College / Cegep Name *Year you will graduate or graduatedWhat extracurricular activities, hobbies and organizations are you involved in?Are you in school / working?What is your attitude towards marriage?How often do you learn Torah?How involved and excited are you to be be part of the Jewish Community?If there is one thing you would like to see in Judaism, What would it be?Do you have accessibility requirements or physical limitations?NOYESDo you have special dietary requirements?NOYESAre you now, or have you in the past received medical treatment or psychological counseling?NOYESAre you currently taking medication?NOYESHave you ever been hospitalized?NOYESABOUT YOU: Who referred you to our program?APPLICATION ESSAYPayed by (NAME) if other than student:I would like to receive email updates regarding future trips and programs.YESNOComments or QuestionsDate / TimeDateTimeSubmit
