Sorkin Youth Trip to Israel 2019 

To reserve a space on our trip to Israel for your teen, please fill out this form and submit payment online or via check made out to Congregation Beth El. 











Expectations of Particapants

We are confident that all participants will exercise appropriate judgment during the program. This includes refraining from the use or possession of drugs, alcohol, or weapons; abuse, defacement or theft of property; breaking curfew; unauthorized absence from programs or program site; or failure to cooperate with Beth El staff in all facets of the scheduled program. Infractions may result in disciplinary action. Should severe infractions occur, Beth El reserves the right to dismiss the student from the program and immediately transfer the student home at the participant’s family’s expense, without refund of program payments.

 

By signing this form, I give permission for my child to participate in the confirmation class trip to Israel, December I also give permission to Beth El staff and designee(s) to seek emergency medical care at my expense for my child if the need arises. Further, I agree to the Expectations of Participants below.



Payment Information
You can pay by either credit card or ACH/eCheck. Paying by credit card incurs a 3% processing fee ($15.00). There is no fee to pay via ACH/eCheck.

ACH/eCheck Information
Total
$500.00





Credit Card Payment Information


$

$




MM

YYYY






Please click Submit only once. No Refunds.