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5784 11th & 12th Grade Civil Rights Trip

Parent/Guardian Information

Teen Demographic Information

If not applicable, please write: NONE.
This will be used for nametags and event purposes. 
These will be used for nametags and event purposes. 
It is important that we have the teen's cell phone number for communication leading up to, and during, the trip. 
It is important to have the teen's email for communication leading up to, and during, the trip. 

Teen Medical, Social and Emotional Information
If your teen does not have any food allergies or dietary restrictions, please write: None.
If your teen does not have any non-food allergies please write: None.
This information will be kept confidential. It is necessary to ensure your teen's safety and enjoyment. If your teen does not have any, please write: None.
If your teen does not take any medication, please write: None


2nd Teen Demographic Information
If not applicable, please write: NONE.
This will be used for nametags and event purposes. 
These will be used for nametags and event purposes. 
It is important that we have the teen's cell phone number for communication leading up to, and during, the trip. 
It is important to have the teen's email for communication leading up to, and during, the trip. 

2nd Teen Medical, Social and Emotional Information
If your teen does not have any food allergies or dietary restrictions, please write: None.
If your teen does not have any non-food allergies please write: None.
This information will be kept confidential. It is necessary to ensure your teen's safety and enjoyment. If your teen does not have any, please write: None.
If your teen does not take any medication, please write: None

Event Cost
The cost for the Civil Rights trip is $1,350 per person, not including airfare. The cost DOES include all meals & snacks, hotel lodging, local transportation and program fares/admission fees.

Beth Am will make group airline reservations the day that the trip registration closes. We will send a follow up email with the cost of the airfare, which will be charged to your ShulCloud account. Based on previous years, we anticipate that airfare will cost approximately $475 per person. 

As always, we do not want finances to be a barrier to participation for any of our teens. Financial assistance is always available.
Financial Aid Form



Cancellation Policy - This is Based on Etgar's Cancellation Policy

Cancellations made prior to November 1, 2023, will be refunded in full.
Cancellations made between November 2 and November 30 will receive a 50% refund of the total cost including airfare. 
Cancellations made between December 1 and February 8, 2024 will not be eligible for a refund.
Exemptions for extenuating circumstance may be available.


More detailed information will be shared with trip participants and their families as we get closer to the trip date. This will include the trip itinerary, packing list, and all trip logistics. 
If you have any questions in the meantime, please don't hesitate to email rabbi_watenmaker@betham.org.
Sun, December 10 2023 27 Kislev 5784