Register — Israel Study Tour

STUDY TRIP APPLICATION

If you’re interested in joining this specialized study trip, you will need to complete this application form.

Registration form and $500 deposit is due to reserve your space in the trip.
The reservation deposit is non-refundable. If an individual needs to cancel up to thirty days before the trip due to a family emergency or illness, we will consider refunding a portion of the fee on a case by case basis.

Make out deposit checks to “Israel 2024”

Mail to:
Daniel Kroeze
2704 Danton Drive
Wyoming, MI. 49519

Passenger 1:

Exactly as it appears on your passport

First Name

Last Name

Passenger 1:

Date of Birth

MM

DD

YYYY

Passenger 2:

Exactly as it appears on your passport

First Name

Last Name

Passenger 2:

Date of Birth

MM

DD

YYYY

Citizenship

Citizenship (Other)

Passport #

Passports must be valid for at least six months beyond your intended return.

Expiration Date

MM

DD

YYYY

Passport #

Passports must be valid for at least six months beyond your intended return.

Expiration Date

MM

DD

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Email Address

Emergency Contact (Not traveling with you)

First Name

Last Name

Phone

(###)

###

####

Relationship