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Who We Are
Our Mission
How We Help
Your Impact
Contact
Board
News
Careers
Financials
What We Do
Community Security
Community Campaign
Community Relations
BuILD: Leadership Development
YAD
Jewish Life & Learning
Israel & Overseas
Partnership2Gether
Foundation
Women
Planning & Allocations
Give
Israel Emergency
In Honor/Memory
Ways to Pay
Matching Gifts
Ways to Give
Wire Cash & Securities
Corporate Sponsorship
Educational Improvement Tax Credit Program (EITC)
Giving Societies
Donor Services
State College
Get Involved
Virtual Block Watch
Families With Kids
PJ Library
YAD
Host Shinshinim
Missions
Heritage & Hope
Women
Fundraising
Resources
Community Security
Remembering the Attack
Oct. 27, 2018
Find Help
Grants
Israel Scholarships
One Happy Camper
Publications
Events
East Coast Snowbird
Free Throws & Field Goals Sports Trivia Night
Poland & Vienna Mission
Adult Jewish Learning
Meet the Rabbi
Continuing Legal Education
Community Calendar
Submit Your Event
Subscribe
Contact
Staff
Departments
Donor Services
Careers
Incident Report
Donate
Queens of the Forest Mission Registration
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*
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Step
1
of
2
- Personal Information
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Name
*
First
Last
Name as you would like it to appear on name badge (First and Last Name)
*
Email
*
Cell Phone
*
Birthdate
*
MM slash DD slash YYYY
T-Shirt Size
*
Choose One
Small
Medium
Large
X-Large
2X-Large
3X-Large
Emergency Contact Name
*
Emergency Contact Phone
*
Do you have any dietary restrictions (Gluten free, dairy free, vegetarian, etc.)? Meals provided on this mission will be fully kosher.
*
Yes
No
Please describe your dietary restrictions.
*
Please list all allergies, prescriptions and medical conditions. (N/A if none.)
*
This hike will involve approximately a 10 mile walk a day on difficult terrain. Please share any accessibility needs you have to help our team best accommodate your experience on this mission. Our team may contact you to discuss specifics as needed.
*
Please write a paragraph about what sparked your interest in the program.
*
Agreements
Photo Release and Liability Agreement
*
By registering for this event, I agree that my picture and/or video may be taken and potentially used in Jewish Federation marketing material and social media.
Yes, I agree.
Campaign Participation Agreement
*
I understand that participation in this Mission requires a minimum commitment of $250 each year to the 2025 and 2026 Federation Community Campaigns.
Yes, I agree.
Trip and Health Insurance is Required
*
I understand it is expressly required that I review my personal insurance coverage needs with my insurance advisors to determine if additional travel insurance is required providing for reimbursement for trip delay, missed connections, sickness and accident, medical expenses, lost baggage, personal effects, baggage delay, etc.
Yes, I agree.
Phone
This field is for validation purposes and should be left unchanged.
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