Rebuilding Hope 2024 - Booking form
Sunday 14 to Saturday 27 April 2024

Please complete all sections of the form - each trip participant needs to complete a form.
Sign in to Google to save your progress. Learn more
Essential Information
Thank you for your interest in joining this trip.  The first thing you need to do is follow the link below to read the trip information and terms & conditions document.  Please read this carefully before proceeding to complete the booking form.

Click https://www.amostrust.org/rebuilding-hope-2024-essential-information to see the essential information and terms and conditions for this trip.
Agreement *
I confirm that I have read and agree with the essental information and terms and conditions.
Required
Data Protection
Amos Trust has a comprehensive privacy policy which we strongly recommend you read https://www.amostrust.org/privacy-policy/ 

As part of planning and operating this trip we will be sharing some of the participants' personal data with our local partners in Bethlehem and Nazareth.  This information will include names, genders and dates of birth.  We will not share more personal data than is necessary to deliver the trip and we will not allow our partners or any other third party to contact participants for marketing purposes without them specifically opting in to receive such material.

We are aware that some of the information we are collecting in this form is classified as sensitive under the terms of the General Data Protection Regulation (GDPR), namely the information provided about health.  We will only share this information if it becomes necessary to do so in a participant's vital interest and we will only retain this information until the end of the trip and then remove it from our records.

Your personal details
Family name (surname) *
Exactly as per passport
First name *
Exactly as per passport
Middle name(s)
Leave blank if none
Gender *
Title *
Choose from dropdown menu
Pronouns
Please let us know your preferred pronouns
Clear selection
Dietary requirements
Tick all that apply - Note: vegetarian and vegan options are well catered for in Palestine but gluten free options are not widely available. 
Passport issuing country *
Exactly as per passport
Passport number *
Exactly as per passport
Nationality *
Exactly as per passport
Date of birth *
MM
/
DD
/
YYYY
Passport issue date *
MM
/
DD
/
YYYY
Passport expiry date *
Your passport must be valid for at least 6 months from the date of entry into Israel
MM
/
DD
/
YYYY
Passport stamps *
Please list all the stamps in your passport. If you have no stamps please enter none. We may contact you about this question.
Your contact details
email address *
Preferred name
(If different from your first name)
Mobile number *
(UK mobile preferred) (format xxxxx xxxxxx)
Contact number (non UK)
If applicable
Home address *
Other information
Flights *
Please confirm if you intend to arrange your own flights for the trip. If you select this option, we will assume you understand the financial and logistical implications of this, as per the trip essential information.
Accommodation required *
We will be staying in a Bethlehem hotel.  The cost of the trip includes sharing a twin room (or double room for couples).  Single rooms are normally available at an additional cost of £250.
Please indicate if you need a double,twin or single room.
Roommate name
If you are travelling with someone for sharing your double or twin room
Health
Please let us know about on-going health or mobility issues that the trip leaders should be aware of
Previous trips *
Have you travelled to Israel or Palestine before? If yes, please briefly tell us about your previous trip/s including if it was organised by Amos Trust. If this will be your first visit, please put no. 
Why and How? *
Please briefly tell us why you want to travel with us on this trip and how you heard about it
Useful skills
Please  let us know about any skills you have such as language (Hebrew or Arabic), medical qualifications or first aid training
Emergency contact details
Name of person to contact in emergency *
Your relationship with them *
Their email address
Their contact number *
UK mobile preferred
Their landline number
Contact preferences
Group information sharing *
Are you happy for us to share your email address and/or your mobile number with the other participants on the trip to enable lift sharing to & from the airport etc.?
Trip WhatsApp group *
Are you happy to join a WhatsApp group for the trip participants? This will be used to share information during the trip and groups often use them to stay in touch and share information afterwards. You can leave a WhatsApp group whenever you want.
Further contact *
Please tick to show what ongoing communications you would like to receive from Amos Trust. You can choose more than one option.
Required
Now please press "Submit" to send us your form and pay your deposit

Once you have submitted your booking form, you will receive an email from us confirming we have your information. This email will include two links which you will need to follow to complete the booking process:

  • the first link will take you to a payment page for you to pay the deposit for the trip
  • the second link will take you to a Code of Conduct form which every participant needs to accept.

Once we have received the details from your form, your deposit payment, and your acceptance of the Code of Conduct, we will add your name to the list of confirmed trip participants.

Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Amos Trust. Report Abuse