WHAT WE DO
BEFORE THE TRIP
ON THE TRIP
WHAT TO PACK
CELL PHONE RENTALS
THE GOINSPIRE DIFFERENCE
NYC Tech Israel
Womens Chizuk Mission
Bar Mitzvah Trip
Israel Experience Leisure
Israel Experience Elite
Mens Israel Experience
Israel Inspire September 2014
Jewish Womens Journey
Jewish Women Inspired Trip
Aish Chile Jizuk Mission 2015
LChaim Center Israel Trip
Aish Detroit Bubby Trip
The Legacy Trip
Israel with Emuna Trip
Aish Yarchei Kallah
Your Spiritual Spa
Aish Mens Recharge
JInspire Israel Reconnect
Denver Israel Couples Trip
Bat Mitzvah Next
L'Chaim Center Israel Trip
Westmount Israel Trip
Journey to Jerusalem
A Taste of Israel
Mens Chizuk Mission
Note: If you are traveling with your spouse, fill out the form once for each person.
I am a...
(please fill out this form separately for each person who is attending the trip)
(as you would like to be called on the trip)
Date of Birth
First + Middle Name (as appears on passport)
Last Name (as appears on passport)
Country of Citizenship
If you are waiting for your passport you may write "pending". Please email your passport information to
as soon as you have it.
Your passport needs to be valid for at least 6 months AFTER your return date.
Full Name as you would like it to appear on your name tag
How did you hear about the program?
Name of the referring individual or organization
Which city? (JWOJ)
Please choose one:
Aish St. Louis
Your Contact Information
Emergency Contact (Name and Phone Number)
Do you have any accessibility requirements or physical limitations or restrictions?
Do you have any special dietary requirements or allergies?
Are you currently receiving any medical treatment or psychological counseling?
Have you received psychological counseling in the past?
Have you been hospitalized or had surgery in the past year?
Are you currently taking any medication?
Is your spouse Jewish?
Your Current Jewish Affiliation
Recently becoming observant
Other systems being explored or observing
If you have children, how many do you have?
Please enter a value greater than or equal to
Do your children attend Jewish Day School?
Which Aish program are you affiliated with?
Aish San Diego
Aish St Louis
Chicago Torah Network
Aish South Africa
Monmouth Torah Links
Other (please indicate in the comments below)
Orthodox - Yeshivish
Are you a Neve alumna?
I have been to Israel before
I have gone on a JWRP trip
What was the date of your trip? Which branch did you go with?
Please tell us more about your background and what you hope to gain from the trip
GoInspire can arrange flights for you
Please contact me about flights
I would like to join the group flight
Seating Preference: We will try to honor your request, but unfortunately we cannot always get the seat you prefer.
I would like to sit near: (We will do our best to accommodate your request.)
Airline Meal Request
Would you like to extend your trip?
I haven't decided yet.
Extensions are based on pricing and availability; the earlier you submit your request, the more likely we will be able to honor it.
First choice for ticket change. Submit a date and time preference.
Second choice for ticket change. Submit a date and time preference.
Frequent Flyer Plan (optional)
El Al (Matmid)
Frequent Flyer Number
Would you like to upgrade to your seat?
If indicated on your application, we will contact you with options and pricing. You can also decide to upgrade after your ticket is booked.
Single room upgrade
I may be interested upgrading to a single room for an additional fee (will be confirmed based on availability)
The price for a single supplement is $650.
The price for a single supplement is $550.
Yarchei Kallah Trip Package Options
Program Only ($199)
Which parts of the program will you be joining us for?
Comments / Special Requests
Please note: No alcohol consumption will be allowed for the duration of this trip.
Please enter your initials in the box below
I have read the Participant Waiver
I agree to the terms
Acceptance will be determined after an interview; once your application is reviewed, you will be contacted by your local sponsoring organization.
Acceptance is determined after an interview. You will be contacted shortly for a brief phone interview.
Upon clicking Submit you will be redirected to our secure payment site to pay for your trip. Note: credit card payments will include a 2.5% processing fee; to avoid that fee you can mail a check to:
28 Park Avenue
Airmont, NY 10952