Israel Culinary Trip 2022

Israel Culinary Trip 2022 | Application

MAY 19 - 29, 2022
Dates & Policies
TRIP DATES May 19-29, 2022

Temple Emanu-El Streicker Center
Israel Culinary Trip 2022
One East 65th Street | New York, NY 10065

israel@emanuelstreickernyc.org | (212) 507-9580
PRICING

Double Occupancy: $10,750 per person 
Single occupancy supplement: $3,000 
Non-Temple Emanu-El Member Fee: $1,000 per person
A $2,000 deposit per person is due upon registration with the balance due by March 1, 2022.
REFUNDS: A full refund (minus deposit) can be requested until March 1, 2022. No refunds thereafter.
HOW TO APPLY
Complete this online application: one application per trip participant. 
Make a payment according to instructions below.
PAYMENTS
A $2,000 deposit is due upon registration (fully refundable until March 1, 2022)
• Balance due by March 1, 2022
• No refunds after March 1, 2022

The minimum age of participation is 21. 

HOW TO PAY
Complete application: Complete, sign and submit the application. 
Credit card: Pay online at emanuelstreickernyc.org/israel
Check: Mail check payable to "The Temple Emanu-El Streicker Center." (Include a copy of your application, or a note with the traveler contact information.) Mail to: Temple Emanu-El Streicker Center, Israel Trip, One East 65th Street, New York NY 10065.


Temple Emanu-El Streicker Center
Israel Culinary Trip 2022
One East 65th Street | New York, NY 10065
israel@emanuelstreickernyc.org | (212) 507-9580

PRICING

Double Occupancy: $10,750 per person
Single occupancy supplement: $3,000
Non-Temple Emanu-El Member Fee: $1,000 per person

HOW TO APPLY

Complete this online application.
OR, print, complete, scan and email to israel@emanuelstreickernyc.org

Make a payment according to instructions below.

PAYMENTS

A $2,000 deposit is due upon registration (fully refundable until March 1, 2022)
- Balance due by March 1, 2022
- No refunds after March 1, 2022
The minimum age of participation is 21.

HOW TO PAY

* Complete application: Complete, sign and submit this application.

* Pay by credit card: Pay online at https://streicker.nyc/israel/payment

* Or, pay by check: Mail check payable to "The Temple Emanu-El Streicker Center." (Include a copy of your application, or a note with the traveler contact information.) Mail to: Temple Emanu-El Streicker Center, Israel Trip, One East 65th Street, New York NY 10065.
Contact & Passport Information
Full Name (AS IT APPEARS ON YOUR PASSPORT) *

First Name Middle Name Last Name
Preferred Name (if different)
Hebrew Name
You may type in the transliteration or Hebrew text if your computer supports that.
Home Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number *

Area Code Phone Number
Alternate Phone Number

Area Code Phone Number
Date Of Birth *

Month Day Year
Birth Place *
City, State, Country
Email Address *
Passport Number *
Passport Expiration Date *

Month Day Year
Country of Citizenship *
Travel Info & Preferences
Are you a Temple Emanu-El Member?

Yes, I am a member. No, I am not a member (additional $1000 fee).
Accomodation Type *

Single Room (additional $3000) Double Room (specify at right)
Sharing a room with: *
Full Name
Total Number in Your Group *
(Complete an application for EACH PERSON)
Names of additional people in your group: *
Please list full names
Dietary Restrictions or Requirements (if any)
E.g., Vegetarian, Vegan or other restrictions
Emergency Contact

(In the United States)
Emergency Contact Name *

First Name Last Name
Emergency Contact Phone Number *

Area Code Phone Number
Emergency Contact Email
example@example.com
Liability Release Statement

This electronic signature is the equivalent of a written signature. Ensure you have read and agree to all policies all this page before signing. You warrant that the information you have provided is correct to the best of your knowledge.
Liability Release Statement
I have read and agree to the disclaimers and policies on this form and I hereby release and discharge Temple Emanu-El, its agents, employees, officers, directors, shareholders and successors from and against any and all liability arising from my participation in this trip. I agree that this release will be legally binding upon myself, my heirs, successors, assigns legal representatives, it being my intention to fully assume all risk of travel and to release Temple Emanu-El from any and all liabilities to the maximum permitted by law.
I, {fullName}, have read the disclaimer stated above and I hereby release and discharge Temple Emanu-El, its agents, employees, officers, directors, shareholders and successors from and against any and all liability arising from my participation in this trip. I agree that this release will be legally binding upon myself, my heirs, successors, assigns legal representatives, it being my intention to fully assume all risk of travel and to release Temple Emanu-El from any and all liabilities to the maximum permitted by law.
Signature *

Sign with mouse or finger. Clear
FULL NAME *
Type your full legal name.
DATE *
Type the date you are signing this application.
Should be Empty:

Israel Culinary Trip 2022 | Application

Contact & Passport Information

Travel Info & Preferences

Emergency Contact

Liability Release Statement