Olim B'regel New Olim/עולים ברגל עולים חדשים
Email *
Name (First and Last) *
Teudat Zeut/ID Number *
Date of Aliyah *
MM
/
DD
/
YYYY
Phone Number *
Address *
How many people are in your family (including you) *
How old are your children (if relevant)? (Please list each age)
What language(s) do you feel most comfortable speaking (please check all that apply)? *
Required
What meal(s) are you interested in being hosted? (Please check all that apply) *
Required
How far are you ok walking? *
What level of kashrut do you keep? *
Are you shomer shabbat? *
Do you have any food sensitivities or dietary restrictions (aside from kashrut)? *
Do you have any accessibility concerns (i.e., difficulty with stairs, etc.)? *
Do you have any additional comments or questions?
Participation in the activity - both as hosts and as guests - is solely the responsibility of the participant. *
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