Multicultural summer

Registration form

Participant Information

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Have you ever visited Israel before? *

Guardian / Adult Primary Contact

Relationship to Participant: *
 
 

Participant Preferences

What don't you eat? Please let us know of any food restrictions or allergies and detail them below (tick all that apply). *
 
Do you know how to ride a bicycle? *
Do you snore? * 
Do you know how to swim? *
Do you know Hebrew? *
Is a friend or someone you know coming with you? *
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Declaration

By signing and submitting this form, I certify that I intend to participate in Givat Haviva's summer program, that all the information submitted is complete and correct, and I will complete the registration process to the best of my abilities.   *
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Paying the application fee

To complete your application and pay the non-refundable application fee of US $150, please choose one of these options:
DIRECT BANK TRANSFER: Paypal to http://paypal.me/studyinisrael
Bank name: Bank of America  Make sure to add $9 Transaction fees.
Owner: Study in Israel LLC  
Account number: 385017363882  
Connecticut, New Haven  
Swift code: BOFAUS3N
Wire transfer routing number: 026009593
 If you'd like to pay by Credit card, please let us know
Please send a screenshot or scan of the payment confirmation in JPEG, GIF, PNG, BMP.
 
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Multicultural teens summer program at Givat Haviva - Enrollment by Study in Israel LLC - email us at info@arabicinisrael.com | info@studyhebrewinisrael.com
or call: +1 718 838-3533 (N. America) | +972-9-766-6222 (Global) | +972-58-766-6226 (Whatsapp)