Flight Registration

RAJE Philly – May 27, 2018

Hidden
trip*
Are you a staff member?
All students: please choose your grade below. Staff: if you know that you're to travel with a specific grade, please choose that grade below as well
TripDate
Which school are you traveling with?*
If you are traveling with a school and it is not listed here, please be in touch with Shalva or email [email protected] before signing up.
Hidden
School name*
Your Information
First Name (as it should appear on your name tag)*
Last Name:*
Gender:*
- Male
- Female
Email:*
Cell Phone:*
Home Phone:*
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
University
Staff only: please indicate your position
Parent's Information
Parent's Email Address*

Required for High School Students. If you are an adult over age 18, you may enter your own email address here instead.
Parent's Phone Number
Group Flight Information
- Departure
  ELAL 002
  Tuesday March 5
  Departs from JFK 5:00 PM
  Arrives in Tel Aviv: 10:20 AM
  Wednesday March 6
- Return
  ELAL 001
  Saturday Night, March 9 (March 10)
  Departs from Tel Aviv: 12:45 AM
  Arrives at JFK: 6:45 AM
  Sunday March 10
- Departure
  ELAL 002
  Tuesday March 5
  Departs from JFK 5:00 PM
  Arrives in Tel Aviv: 10:20 AM
  Wednesday March 6
- Return
  ELAL 001
  Sunday Night, March 10 (March 11)
  Departs from Tel Aviv: 12:45 AM
  Arrives at JFK: 6:45 AM
  Monday March 11
- Departure
  ELAL 002
  Wednesday March 6
  Departs from JFK 5:00 PM
  Arrives in Tel Aviv: 10:20 AM
  Thursday March 7
- Return
  ELAL 001
  Sunday Night, March 10 (March 11)
  Departs from Tel Aviv: 12:45 AM
  Arrives at JFK: 6:45 AM
  Monday March 11
- Departure
  ELAL 026
  Tuesday March 5
  Departs from Newark 9:00 PM
  Arrives in Tel Aviv: 2:20 PM
  Wednesday March 6
- Return
  ELAL 027
  Saturday Night, March 9 (March 10)
  Departs from Tel Aviv: 1:00 AM
  Arrives in Newark: 7:00 AM
  Sunday March 10
- Departure
  ELAL 026
  Tuesday March 5
  Departs from Newark 9:00 PM
  Arrives in Tel Aviv: 2:20 PM
  Wednesday March 6
- Return
  ELAL 025
  Sunday Night, March 10 (March 11)
  Departs from Tel Aviv: 12:05 AM
  Arrives in Newark: 6:05 AM
  Monday March 11
- Departure
  ELAL 028
  Wednesday March 6
  Departs from Newark 1:15 PM
  Arrives in Tel Aviv: 6:35 AM
  Thursday March 7
- Return
  ELAL 027
  Sunday Night, March 10 (March 11)
  Departs from Tel Aviv: 1:00 AM
  Arrives in Newark: 7:00 AM
  Monday March 11
- Departure
  ELAL 018
  Wednesday March 6
  Departs from Miami 12:00 noon
  Arrives in Tel Aviv: 6:45 AM
  Thursday March 7
- Return
  ELAL 0017
  Sunday Night, March 10 (March 11)
  Departs from Tel Aviv: 1:00 AM
  Arrives in Miami 8:50 AM
  Monday March 11
Please select your school above in order to continue.
Passport Information
Your passport must be valid for at least 6 months after your return date. If you do not have your passport at hand, or it expired, enter "pending" and todays date, and email us with the correct information when you have it.
Passport First and Middle Names:*
Passport Last Name (Surname):*
Passport Number:*
Passport Expiration Date*
MM slash DD slash YYYY
Birthdate:*
MM slash DD slash YYYY
Country of Citizenship:*
Are you an Israeli citizen? If you are a dual citizen of Israel and another country please choose Yes. Remember to travel with both passports.*
For Poland only trips - 3 months is sufficient.
Does the name entered match your passport exactly? If it does not, you might incur a change fee of $220 or more at the airport*
- Yes- it matches.
Requested Flight Dates
Flight Outbound Date*
Flight Return Date*
Originating Airport*
Flight Information
What are your dates of travel? Please indicate how flexible you are.*
Where will you be flying from? Your scholarship might only cover the ticket from NYC, but we may be able to arrange your flight from your home city at an additional cost.*
Flight Information
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Hasbara Flight Options: Which city are you coming from?
Please let us know if you will be booking a domestic flight to catch our group flight.
You are responsible for booking your own domestic flights. Be sure to allow at least four hours between flights.
Would you like to extend your trip? We can only process a limited number of extensions. If you are interested, we will be in touch with you regarding the possiblity and price.*
- Yes - and I have read about extending my trip.
- No
- I haven't decided yet - and I have read about extending my trip.
If you decide to extend your trip, send an email to [email protected]. Remember that the sooner your arrange your extension, the easier it will be to find the flight you want. Please be aware of the extension deadline. We may be unable to process requests submitted past the deadline.
First choice for ticket change. Submit a date and time preference.*
Second choice for ticket change. Submit a date and time preference.*
Please refer to your trip's landing page for information about extensions
Click here to see ELAL's flight schedule for your trip extension
TRAVEL INSURANCE
We strongly recommend purchasing travel insurance in case of lost baggage, missed connections, flight changes or cancellations. Click here to open our travel insurance page in a new window
PARTICIPANT TRAVEL WAIVER
View participant waiver here
Click here to:
- View your tourist health insurance coverage details
- Extend your health insurance for additional days before or after the trip
- Apply for coverage for pre-existing conditions
Click here to view the Participant Waiver
Click here to:
- View your tourist health insurance coverage details
- Extend your health insurance for additional days before or after the trip
- Apply for coverage for pre-existing conditions
Please read before you check below.*
- I have read the Participant Waiver and agree to its terms
Other Information
Dietary Needs

Let us know if you have any special dietary needs, allergies, etc. we should be aware of during your trip.
Airline Meal Request
Click here to see ELAL's meal choices
Everyone will be given a standard kosher meal on the flights. You should bring your own food if you need other food on the flights.
Emergency Contact Information (name and phone number)*
Please add anything else you'd like us to know
Flight Option
Hide Insurance on Confirmation Page
AIR
LY XX= other airline waw= Poland trip no = no deviations none= no flights
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Status

This will ensure that a ticket is created by the form.
Hide Extension on Confirmation Page
IF YOU CANCEL you will be charged a cancellation fee. The amount of the fee depends on your ticket. We will provide you with a receipt which you can use to submit to your travel insurance for reimbursement.*
- In case of cancellation, I understand that Go Inspire will charge the cancellation fee on my credit card.
Flight City Merged
Group (text, for prefilling via URL)
Ticket Type
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School (merged)
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Staff (merged)
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Show Parent Fields
Payment
Akiva Trip Program Payment
Price:
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Total Due
$0.00

Flight Registration

RAJE Philly – May 27, 2018

Your Information

Parent's Information

Group Flight Information

Departure

Return

Departure

Return

Departure

Return

Departure

Return

Departure

Return

Departure

Return

Departure

Return

Passport Information

Requested Flight Dates

Flight Information

Flight Information

You are responsible for booking your own domestic flights. Be sure to allow at least four hours between flights.

TRAVEL INSURANCE

PARTICIPANT TRAVEL WAIVER

Other Information

Payment