L'Taken Application Form
Advocacy Trip to Washington, DC, Feb. 25-28

More info: https://rac.org/leadership-development/empowering-young-leaders/ltaken-social-justice-seminars/what-ltaken

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Email *
Name *
Cell *
Why I would like to attend L'Taken *
I understand that I will need to cover my travel costs (flight), transport $65, and some meals (approx. $50). *scholarships may be available to help with these costs. *
Required
I understand that I will be expected to do some fundraising to help the synagogue defray some of the expenses. *
Required
If I am a member of Congregation Kol Haverim, my registration and housing costs will be provided - otherwise I will also be responsible for my registration/housing costs. (1 to a room - $739/person; 2 to a room - $579/person; 3 to a room - $524/person; 4 to a room - $489/person) *
Required
I understand that I will miss school on that Friday and Monday. *
Required
I understand that I must be a current member of GRSLY *
Required
I have discussed this with my parents and they agree as well. *
Required
A copy of your responses will be emailed to the address you provided.
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