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Youth Zionist Leadership Forum
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2019 Youth Zionist Leadership Forum
Shalom! We are super excited about our 6th Annual Forum and we are even more excited to welcome teens from across the North America!
2019 Youth Zionist Leadership Forum 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.
Current Club Z INSTITUTE Members - $200, if paid by 10/31. Early Bird - $275 Before September 30, 2018.
Conference Fee - $375 After December 20 - $475
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 to email@example.com for more info***
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
Please send your payment to Club Z 20 El Camino Real, Redwood City CA 94062
If you prefer to pay online, please send money via PayPal to firstname.lastname@example.org. - AND PLEASE CLICK ON "FRIENDS AND FAMILY".
Please don't hesitate to reach out with questions - email@example.com
PLEASE FILL OUT ALL FIELDS. INCOMPLETE REGISTRATION WILL NOT BE CONSIDERED.
Attendee Email Address
Attendee First Name
Attendee Last Name
Apt, Suite, Bldg. (optional)
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Bosnia and Herzegovina
Central African Republic
East Timor (Timor Timur)
Papua New Guinea
Saint Kitts and Nevis
Sao Tome and Principe
Trinidad and Tobago
United Arab Emirates
United States of America
Club Z Alumni
Please list any allergies
Roommate Requests ( same gender only)
Why do you want to attend the Forum?
How did you hear about the Forum?
Anything you would like us to know/be aware?
Parent 1: First and Last Name
Parent 1: Phone Number
Parent 2: First and Last Name
Parent 2: Email
Parent 2: Phone Number
Please enter any two digits
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