Chessed Mission to Israel

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With much anticipation and excitement, we are pleased to inform you of the upcoming Chessed Mission to Israel departing from JFK on April 27 and returning Saturday night, May 3.

The cost of is $1500. Please fill out the form below to pay and to grant permission for your child to attend the trip.

Parent Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Parent Phone(Required)

Parent Email(Required)

Student Name(Required)

Enter your legal name as it appears on your passport.

First Last

Do you have a passport for a country besides the US?(Required)

Yes

Enter all the information for your non-US Passport below.(Required)

Passport Number(Required)

Enter your US Passport Number

Passport Expiration Date

Enter the expiration date on your US passport.

Product Name(Required)

Parent Signature(Required)

I hereby grant permission for my child to participate in the Chessed Mission to Israel taking place April 27 to May 3, 2025.

Total

Credit Card(Required)

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

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Chessed Mission to Israel