Name
*
First
Last
Email
*
Phone
*
Birthday
*
Month
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Day
1
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Year
2025
2024
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1920
Are you a Student or Employee?
*
Student
Employee
Where?
*
Hidden
Would you like to reserve a seat on the Yachad Transportation going TO the program?
Yes, from Washington Heights (YU)
Yes, from Midtown (Stern)
Yes, from Kew Gardens Hills (LCM)
Yes, from Teaneck
Yes, from the Five Towns
No
Hidden
Would you like to reserve a seat on the Yachad Transportation AFTER the program?
Yes, to Washington Heights (YU)
Yes, to Midtown (Stern)
Yes, to Kew Gardens Hills (LCM)
Yes, to Teaneck
Yes, to the Five Towns
No
Hidden
Would you like to reserve a seat on the Yachad Transportation AFTER the program?
Yes, from Washington Heights (YU)
Yes, from Midtown (Stern)
Yes, from Kew Gardens Hills (LCM)
No
Select those that apply to you and your involvement with Yachad
*
I have attended a Yachad program as a High Schooler
I have attended a Yachad program in Israel Yachad
I have attended a Yachad program as a Camp Counselor
I have attended a Yachad program in NY/NJ as an Advisor
I have attended a Yachad program as staff
This is my first Yachad program (and we can’t wait to welcome you!)
How did you hear about this event?
*
I hereby consent that Yachad can use pictures and videos of me on social media and promotional material. I will also smile for the camera.
*
Yes
I understand that application to this event does not guarantee a spot on the program. All registrations will be reviewed shortly and those accepted will receive an acceptance confirmation via email.
*
Yes