Waitlist for The Associated's Family Mission to Israel

Please fill out this brief form below to be added to our waitlist for upcoming Family Mission to Israel. If space becomes available, we will contact you at the information you provide below.

Questions? Contact |Ali Duhan at aduhan@associated.org or 410-369-9276.

Name Name First Last
Email
Best Phone Number to Reach You Best Phone Number to Reach You - ### - ### ####
How many members of your family will be traveling?
Please list the names and ages of each family member that will be traveling.
Will a member of your family participate in the B'nai Mitzvah ceremony (must be between 12-14 at the time of the mission)?

Will a member of your family participate in the B'nai Mitzvah ceremony (must be between 12-14 at the time of the mission)? Yes No