YOUNG WOMAN’S MISSION TO ISRAEL
July 2-10, 2017
Fax/mail completed applicationto:Heidi Kuperman, Missions DirectorFAX (973) 884-7361 901 Route 10 Phone (973) 929-3046 - Heidi
Whippany, NJ 07981-1156Phone (973) 929-2926 – Jill
- Please reserve _____ space(s). Please note that cancellations may result in penalties.
- Personal Information (include title - Mr./Mrs./Ms./Dr./Rabbi, etc.)
______
Title Name as it appears on your passport (First, Middle & Last) Nickname (for name tag)
Country of Citizenship ______[ ] Male [ ] FemaleBirth date ___/___/___
Passport #______Place of Issue______Exp. Date ___/___/___
NOTE: Passports must be valid for at least six months beyond the return date of the mission
- Address/Telephone: Street______Apt. #______
City______State_____ Zip_____ Home Phone ( ) ______Work Phone ( ) ______
Cell Phone ( )______E-mail ______
- International Flights: Departure (ALLFLIGHT ARRANGEMENTS MADE ON OWN)
Designated flight: Depart Newark on July 2, 2017, United Airlines #84 at 4:40 pm, arriving in Israel on July 3, 2017 at 10:15 am
- [ ] I will depart on the designated United Airlines flight with the Mission
- [ ] I will depart before the Mission on (date) ______/______
My flight info: Airline & Flight # ______Departure & Arrival Time ______
- Return to the United States (ALLFLIGHT ARRANGEMENTS MADE ON OWN)
Designated flight: Depart Israel on July 9, 2017, United Airlines #91 at 11:10 pm, arriving in Newark on July 10, 2017 at 4:15 am
- [ ] I will depart on the designated United Airlines flight with the Mission
- [ ] I will depart on (date) ______/______
My flight info: Airline & Flight # ______Departure & Arrival Time ______
- Extensions:Complete only if you answered (b) for entry 4 or 5
a.[ ] I am extending and would like to reserve ______room(s) at the ______Hotel,
and check out on ___/___/___
- [ ] I am extending but do not require hotel reservations to be booked.
NOTE:Federation recommends that all participants review their own personal insurance coverage needs with their insurance advisors to determine if additional travel insurance is required providing for reimbursement for trip delay, missed connections, sickness and accident medical expenses, lost baggage, personal effects, baggage delay, etc.
- Room type (check one):[ ] Single room[ ] Double room [ ] King Bed[ ] Twin Beds
[ ] Smoking[ ] Non-smoking[ ] Shabbat Observant
Note: When possible Federation will attempt to find roommates if requested. However if we are unsuccessful, participant will be subject to the single supplement charge.
[ ] I wish to room with______
[ ] Please assign me a roommate. If one is not found, I understand I must pay the single supplement
Participant(s)[ ] Kosher[ ] Vegetarian[ ] Other______
- Important Medical Information
(Allergies/Prescription, Medication/Illness/Presently under Physician's Care, etc.)
______
10. Emergency Contact: ______
NameRelationship
______
Telephone (home)(work)(cell)
Federation reserves the right to limit participation based upon eligibility requirements and space available.
11.Will you celebrate a Special Occasion on the Mission? If yes, please specify with occasion and date:
____________
12.Enclosed is my payment of $______(check all that apply):
$500 deposit per person required with the application (you will be billed the remainder of the cost of the Mission minus the $500 deposit)
$3,499LAND ONLY
$1,180 Single Supplement – ADDITIONAL COST
I have never been to Israel before on a Jewish Federation of Greater MetroWest NJ Mission and may be eligible for the Fried-Saginaw Endowment Fund subsidy of $1,000
All checks should be made payable to: Jewish Federation of Greater MetroWest.
Name on credit card:______
Credit card info: VISA MasterCard American Express
Name on Card: ______
Card number:______CVV2#*______Exp. date____/____/____
If you use a credit card to pay for the Mission, you will be charged 3% for credit card processing
*CVV2 code is the last 3 digits located on the back of your card in the signature box for Visa & MC; and 4 digits located in the front of the card for AmEx.
13.Signature: Must be signed by the person completing the application - IMPORTANT!
Name (please print): ______
Signature: ______
Date:______
PLEASE READ AND SIGN THE RELEASE FORMS ON THE NEXT FEW PAGES.
Release of Liability for Death, Personal Injury, and Property Damage
Missions to Israel and Worldwide Travel
I am aware of the risks of travel to Israel and travel worldwide, including risks associated with my safety and security. These risks include, but are not limited to, property damage and loss, death, or injury by accident, disease, or terrorist acts. I am voluntarily participating in the Jewish Federation of Greater MetroWest NJ (“Federation”) Mission (the “Mission”) with a full understanding of these risks, and I assume and agree to accept any and all risks to my safety and security during the course of participating in the Mission.
I have read, or have had the opportunity to read the current World Health Organization update for the Poliovirus outbreak in Israel, the US State Department Polio Fact Sheet for Travelers and the Center for Disease Control and Prevention Polio Vaccine Guidance for Travelers and Note on Travel to Israel attached hereto. I understand that, in advance of the mission, I may periodically check the World Health Organization’s website, found at to see if the update has been superseded by new information
I have read, or have had the opportunity to read, the current United States Department of State’s Travel Warning for Israel, Gaza, and the West Bank, attached hereto (see next page). I understand that, in advance of the mission, I may periodically check the State Department’s website, found at to see if the Travel Warning has been superseded by a new Travel Warning.
I acknowledge and affirm that, notwithstanding any security arrangements that may be made by Federation, Federation does not guarantee and is not responsible for my personal safety or the safety of my property while participating in the Mission or any Mission-related activities, including, but not limited to, airline travel, ground transportation, meals, lodging, and recreational activities.
In light of the above and in consideration of being permitted to participate in the Mission, I do, for myself, my spouse, heirs, executors, administrators and assigns, release and forever discharge Federation, its respective subsidiaries, affiliates, predecessors, successors and assigns, and all of its respective past, present, and future officers, directors, shareholders, employees, agents, and contractors, and their respective heirs, executors, administrators and assigns (collectively, the “Releasees”), of and from any and every claim arising from or by reason of any bodily injury, personal injuries known or unknown (including emotional trauma), death, or property damage resulting or alleged to result from any accident, incident, or other episode that may occur, whether based upon the negligence of, or breach of contract by, any Releasee or any other party for whose acts or omissions any Releasee may be responsible in law or in fact, or any other cause or principle of law, as a result of my participation in the Mission or any activities in connection with the Mission.
This release contains the entire agreement between the parties to this release. This release supersedes any prior or contemporaneous agreements, understandings, and negotiations regarding its subject matter. This release shall be interpreted and enforced in accordance with the laws of the State of New York, and shall be as broad and inclusive as permitted by such laws. If any provision of this release is held invalid, it is agreed that the balance shall, notwithstanding, continue in full force and legal effect.
I have carefully read the foregoing release and understand its contents, and acknowledge that this is a release of liability and such is a binding and fully enforceable contract between me and Federation.
Having consulted, or having had the opportunity to consult, my own counsel as to its meaning and legal effect, I sign this release as my own free act. Please sign: Note: Federation requires that each adult 18 and over whose name appears on the same application, personally sign this security notice. Spouses, partners or roommates, etc., may not sign for one another. In the case of minors (participants under age 18), we require a signature by the parent for each child. Thank you for your cooperation.
Name: ______Signature: ______Date: ______
Israel, the West Bank and Gaza Travel Warning
Last Updated: August 23, 2016
The Department of State warns U.S. citizens against all travel to the Gaza Strip and urges those present to depart as soon as possible when border crossings are open.The security situation remains complex in Israel and the West Bank, and can change quickly depending on the political environment, recent events, and geographic location. U.S. citizens should exercise caution and remain aware of their surroundings when traveling to areas where there are heightened tensions and security risks. The Government of Israel and the Palestinian Authority both make considerable efforts to police major tourist attractions and ensure security, particularly in areas where foreigners frequently travel. This replaces the Travel Warning issued December 15, 2015.
Gaza is under the control of Hamas, a foreign terrorist organization. The security environment within Gaza and on its borders is dangerous and volatile. Violent demonstrations and shootings occur on a frequent basis and the collateral risks are high. While Israel and Hamas continue to observe the temporary cease-fire that ended the Gaza conflict in 2014, sporadic mortar or rocket fire and corresponding Israeli military response continue to occur.
Within Israel and the West Bank, a rise in political and religious tension beginning in October 2015 led to a spike in violence in which U.S. citizens were killed and wounded. There is no indication that U.S. citizens were specifically targeted based on nationality. Perceived religious affiliation was a factor in some of the attacks. Attacks were carried out using knives, vehicles, and guns. Israeli security forces reacted with deadly force, which resulted in some bystanders being injured or killed in the crossfire. While the frequency of attacks has abated significantly since April 2016, the possibility of random violence continues to exist and can happen without warning. U.S. citizens should stay abreast of current events and know what areas to avoid when traveling throughout the region.
For your safety, the Department of State recommends that U.S. citizens:
- Avoid all travel to the Gaza Strip, and if you are there, leave as soon as you are able;
- Maintain a high degree of situational awareness and exercise caution at all times;
- Avoid demonstrations – which can turn violent – and steer clear of neighborhoods where police have restricted access;
- Beware of and report unattended items or packages;
- Follow the instructions of security and emergency officials;
- Report suspicious activities or items to security officials; and
- Learn the location of the nearest bomb shelter or other hardened shelter.
When planning their own travel, U.S. citizens should consider the following rules that apply to U.S. government employee travel:
- U.S. government employees are not allowed to travel to Gaza;
- With the exception of Jericho, Bethlehem, and along Routes 1 and 90, U.S. government employees are prohibited from personal travel within the West Bank. Restrictions on personal travel by U.S. government employees may change depending on the security environment;
- All other U.S. government travel into the West Bank outside the aforementioned areas must be for official business and conducted with enhanced security measures;
- U.S. government staff takes additional security precautions when visiting refugee camps and “seam areas” where Israelis and Palestinians intersect and which have historically been flashpoints for violence. For example, sites with significant religious meaning to multiple faiths can be subject to violent protests or security incidents with little to no warning, especially on or around significant religious holidays;
- U.S. government employees are prohibited from personal travel into Jerusalem’s Old City on Fridays during the Muslim month of Ramadan. The U.S. government occasionally restricts travel for its employees to the Old City based on the current security environment;
- U.S. government employees are prohibited from using public buses and public bus terminals throughout Israel and the West Bank; and
- U.S. government employees must provide advance notification to Embassy security officials if traveling for any reason to the following locations:
o within 7 miles of the Gaza demarcation line;
o within 1.5 miles of the Lebanon border;
o on or east of Route 98 in the Golan; and
o south of Be’er Sheva.
U.S. citizens planning to travel to Israel, the West Bank, or Gaza should consult the detailed information concerning entry and exit difficulties in theCountry Specific Information (CSI). The CSI also provides detailed guidance on crime and safety conditions within Israel, Jerusalem, the West Bank, and Gaza.
For further detailed information and assistance:
- In Israel, the Golan Heights, and ports of entry at Ben Gurion Airport, Haifa Port, the northern (Jordan River/Sheikh Hussein) and southern (Arava) border crossings connecting Israel and Jordan, and the border crossings between Israel and Egypt, contact theConsular Section of the U.S. Embassy in Tel Aviv. The after-hours emergency number is (972)(3)519-7575.
- In Jerusalem, the West Bank, Gaza, and the Allenby/King Hussein Bridge crossing between the West Bank and Jordan, contact theConsular Section of the U.S. Consulate General in Jerusalem.The after-hours emergency number is (972)(2)622-7250.
- In northern Israel, contact the Consular Agency in Haifa. The after-hours emergency number is (972)(3)519-7575.
- Enroll in the Department of State’sSmart Traveler Enrollment Program (STEP)in order to obtain the most current information on travel and security within Israel, the West Bank and Gaza.
- Up-to-date information on security conditions can also be accessed at onthe EmbassyandConsulate GeneralFacebook pages.
- Up-to-date information on travel and security can be obtained by calling 1-888-407-4747 toll-free in the United States and Canada, or, for callers outside of the United States and Canada, on a regular toll-line at 1-202-501-4444. These numbers are available from 8:00 a.m. to 8:00 p.m. Eastern Time, Monday through Friday (except U.S. federal holidays).
Worldwide Caution - Last Updated: March 3, 2016
Europe
Middle East and North Africa
Africa
South Asia
Central Asia
East Asia and Pacific
The Department of State is updating the Worldwide Caution with information on the continuing threat of terrorist actions and violence against U.S. citizens and interests throughout the world. Current information suggests that ISIL, al-Qa’ida, Boko Haram, al-Shabaab, and other terrorist groups continue to plan terrorist attacks in multiple regions. Recent terrorist attacks, whether by those affiliated with terrorist entities, copycats, or individual perpetrators, serve as a reminder that U.S. citizens need to maintain a high level of vigilance and take appropriate steps to increase their security awareness. This replaces the Worldwide Caution dated July 29, 2015.
In August 2014, after the United States and regional partners commenced military action against ISIL, ISIL called on supporters to attack foreigners wherever they are. Authorities believe there is a continued likelihood of reprisal attacks against U.S., Western, and coalition partner interests throughout the world, especially in the Middle East, North Africa, Europe, and Asia.
U.S. citizens continue to be at risk of kidnappings and hostage events as ISIL, al-Qa’ida, and their affiliates attempt to finance their operations through kidnapping-for-ransom operations. U.S. citizens have been kidnapped and murdered by members of terrorist and violent extremist groups. ISIL, al-Qa’ida in the Arabian Peninsula (AQAP), and al-Qa’ida in the Islamic Maghreb (AQIM) are particularly effective with kidnapping for ransom and are using ransom money to fund their activities.
Extremists may use conventional or non-conventional weapons and target both official and private interests. Examples of such targets include high-profile sporting events, residential areas, business offices, hotels, clubs, restaurants, places of worship, schools, public areas, shopping malls, and other tourist destinations both in the United States and abroad where U.S. citizens gather in large numbers, including during holidays. In the past year, major extremist attacks occurred in countries including Tunisia, France, Nigeria, Turkey, Egypt, and Mali.
U.S. citizens are reminded of the potential for terrorists to attack public transportation systems and other tourist infrastructure. Extremists have targeted and attempted attacks on subway and rail systems, aviation, and maritime services.
U.S. citizens considering maritime travel also should review information at the websites of the National Geospatial Agency, the Maritime Administration, and the U.S. Coast Guard for information related to maritime and port security globally. Current areas of concern include the Caribbean, Gulf of Guinea, Horn of Africa, andthe Straits of Malacca and Singapore as a result of maritime crimes including smuggling, human trafficking, and piracy.
The information provided below offers select regional or country examples. Please check travel.state.gov for additional information.
EUROPE:Credible information indicates terrorist groups such as ISIL and al-Qa’ida and its affiliates continue to plot near-term attacks in Europe. All European countries remain vulnerable to attacks from transnational terrorist organizations.
European authorities continue to warn of the possibility of attacks conducted by lone individuals inspired by extremist organizations that could occur with little to no warning. Extremists have targeted large sporting events, theatres, open markets, aviation services, transportation systems, and public venues where people congregate. Authorities believe there is a high likelihood terror attacks in Europe will continue as European members of ISIL return from Syria and Iraq. European governments are taking action to guard against terrorist attacks; however, all European countries remain potentially vulnerable.
MIDDLE EAST and NORTH AFRICA: Credible information indicates terrorist groups also seek to continue attacks against U.S. interests in the Middle East and North Africa. The U.S. government remains highly concerned about possible attacks against U.S. citizens, facilities, businesses, and perceived U.S. and Western interests. Private U.S. citizens are strongly discouraged from traveling to any country to join in armed conflict. U.S. citizens are reminded that fighting on behalf of or providing other forms of support to designated terrorist organizations, including ISIL, can constitute the provision of material support for terrorism, which is a serious crime that can result in penalties including prison time and large fines.