2021 National Club Z Conference Registration Please fill out the form below -- it should take you about 3.75 mins, and don't be shy to reach out with any questions. Below you will find information about the costs, travel subsidies, how to pay and the rules for attending. WHAT ARE THE TERMS AND CONDITIONS FOR ATTENDING? a) I understand that I am applying for a limited amount of spaces at this conference and that my application is subject to confirmation. I will be notified within two weeks of submitting my application whether I have been accepted to the conference. In the event I have not been accepted, my charge will be refunded by a check mailed to the address provided when I registered. b) I must attend all sessions of the Conference. If I do not attend all functions, I will be charged the full cost of the conference and/or event(s), including the hotel, food, and conference costs, which totals $1,500 per attendee. c) If I violate behavior contract, I will be immediately dismissed from the conference and will be responsible for paying $1,500 and whatever costs incurred to get home. d) I understand that the conference fee is not refundable. e) I understand I will be assigned roommates for the conference. I may request preferred roommates of the same sex, but there is a chance I may not be able to room with them. f) There will be 3-4 people in one room. If I would like to have just one roommate or to have a private room, I will be responsible for additional charges from the hotel. g) I agree to abide by all rules and instructions of Club Z and to obey all laws. I agree to notify Club’s staff immediately if a problem arises during the conference. g) Club Z uses real photos, videos, and quotes from students for promotional purposes and to advance its mission. By attending this program, I consent to the use of my photo, written evaluation statements, and video in any Club Z materials. CONFERENCE COSTS Conference Fee -Institute Members $325 Non Institute Members $399 Conference Fee includes 3 night lodging, food and all conference activities. Lodging will be 3-4 people in room, same gender only. For additional fee, you may request to be in the room with 2 people or single -- the price difference will be whatever the hotel charges. Need Based Scholarships are available. Nobody is turned away for the lack of funds! Special Group Rates are available. Please email devora@clubz.org for more info TRAVEL SUBSIDIES: For teens requiring air travel, we are offering a limited number of travel subsidies. The subsidies are on the first come, first served basis. Southern California - up to $65 MidWest - up to $100 NorthEast - up to $150 HOW TO PAY: Send check payable to: Club Z, 1055 Riverton Drive, San Carlos, CA 94070 To pay online, send money via PayPal to info@clubz.org Please click on "Friends and Family" or add $10 to the amount. CONFERENCE COSTS Institute Members $325 Non Institute Members $399 Please don't hesitate to reach out with questions - devora@clubz.org *RequiredPLEASE FILL OUT ALL FIELDS. INCOMPLETE REGISTRATION WILL NOT BE CONSIDERED.Student Email Address *Student First Name *Student Last Name *Student Phone *Student Address *Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)CongoCosta RicaCote d\'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalestinian TerritoryPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWestern SaharaWestern SamoaYemenZambiaZimbabweCountryGrade *FreshmanSophomoreJuniorSeniorClub Z AlumniGender *MaleFemaleDietary Restrictions *VegetarianVeganKosherGluten-FreeNonePlease list any allergies *Roommate Requests ( same gender only) *Why do you want to attend the National Conference? * *How did you hear about the National Conference? * *Anything you would like us to know/be aware? *If traveling from out of state, please submit trip information belowArrival Flight Number Time of arrival: Departure Flight Information Time of departure Parents InfoParent 1: First and Last Name *Parent 1:Email *Parent 1: Phone Number *Parent 2: First and Last Name Parent 2: Email Parent 2: Phone Number The Maimonides Scholars Program Are you a Junior/Senior in high school and interested in learning more about The Maimonides Scholars Program? This Summer program is designed for current high school juniors and seniors from diverse Jewish backgrounds, who wish to push their intellectual limits and seriously engage with the Jewish and Western philosophical traditions.YesNo VerificationPlease enter any two digits *Example: 12This box is for spam protection - please leave it blank:
