2008 Mission Application

PLEASE NOTE THAT CANCELLATIONS MAY RESULT IN LAND AND/OR AIR PENALTIES AND VARY WITH EACH MISSION. UJC WILL CHARGE YOUR CREDIT CARD $500 PER PERSON DEPOSIT UPON RECEIPT OF YOUR APPLICATION.

Male Female Date of birth MM / DD / YYYY Passport # _________________________________

Passport expiration date* MM / DD / YYYY Country of issue: Country of citizenship: __________________

If yes, Mission Name/Date:______________________________________________________________

* Note: Passports must be valid for at least six months beyond the return date of the mission

Title

Full name exactly as appears on passport

(Last, First, Middle)

Name as you'd like it on name tag

Passport expiration date* MM / DD / YYYY Country of issue: Country of citizenship:

If yes, Mission Name/Date:____________________________________________________

* Note: Passports must be valid for at least six months beyond the return date of the mission

MAILING ADDRESS/TELEPHONE: Please note we cannot send express mail to a P.O. Box.

ADDRESS TO WHICH WE CAN SEND EXPRESS MAIL DURING THE DAY: Please note we cannot send express mail to a P.O. Box.

UJC/Federation, please assign a roommate*: Yes No Smoking Non-smoking Shabbat Observant

*Note: When possible we will attempt to find roommates if requested. However if we are unsuccessful, you will be subject to the single supplement charges.

SEND BILL TO: Participant 1 Participant 2 Bill each participant individually Bill Federation

To make the payment of your Mission fees easier for you, we accept Master Card, American Express, VISA and Discover Card for charging the cost of the basic mission only. Extras or “incidentals” will be charged to the same card.

I hereby authorize United Jewish Communities to charge the credit card provided below. I understand that these payments are necessary in order to reserve airline seats and hotel accommodations. I further recognize that these payments are payments for services (i.e., airfare, hotels, etc.) and not charitable contributions.

_____________________________________________________________________________________________________________________

Signature of Participant Print Name Mission Name

Card Number______________________________________ Expiration Date_______________

This is the 3 or 4 digit security code used to verify your credit card and protect you against fraud. For Visa, Mastercard and Discover Card, the code is 3 digits long and is located on the back of the card. For American Express, the code is 4 digits long and is located on the front of the card above the last digits of your credit card number.

You have the option of purchasing separate domestic tickets either through Gil Travel (1-800-223-3855) for which you will be billed separately, along with a service fee, or you may do so through your local travel agent. For those traveling on domestic flights, please provide a copy of your flight itinerary as soon as possible.

Please note that you will be placed on the basic scheduled mission flights unless you have indicated below that you will arrange your own flights.

TO ISRAEL: Please choose from one of the following options:

1. Depart on the mission’s basic flight____________

2. Land Only. If you are arranging your own international flights, please provide your international flight information below.

If arriving early (before the main group), please reserve a (single; double) room before the mission at: __________________________ hotel in_____________________ (city) for _______ nights. Note: Reservations will not be made unless this information is completed.

3. I do not wish to be on the basic flight, but request that Gil Travel arrange the following flight

If arriving early (before the main group), please reserve a (single; double) room before the mission at: __________________________

hotel in_____________________ (city) for _______ nights. Note: Reservations will not be made unless this information is completed.

LEAVING ISRAEL: Please choose from one of the following options:

1. Depart on the mission’s basic flight

2. Land Only. If you are arranging your own international flights, please provide your international flight information below.

3. I do not wish to be on the basic flight, but request that Gil Travel arrange the following flight

4. Extending in Israel. Please reserve a (single; double) room after the mission at: _________________________ hotel in_____________________ (city) for _______ nights. Note: Reservations will not be made unless this information is completed.

It is important that you review the insurance summaries provided on our website, so that you will be aware of activities that are covered, as well as those that are expressly excluded from insurance coverage.

Please also be aware that the coverage provided under UJC’s group travel accident insurance policies is in effect only during the formally scheduled duration of the mission.

In addition, UJC recommends that all mission 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/or accident medical expenses, lost baggage, personal effects, baggage delay, etc.

Participant 1: Kosher * Vegetarian Other (please specify): __________________________________________

Participant 2: Kosher * Vegetarian Other (please specify): ___________________________________________

Allergies:___________________________________________________________________________

Prescriptions:________________________________________________________________________

Medication conditions:_________________________________________________________________

Allergies: ____________________________________________________________________________

Prescriptions:_________________________________________________________________________

Medication conditions:__________________________________________________________________

Please return this application with your payment for each person to your local federation :

UJC reserves the right to limit participation based upon eligibility requirements and space available.

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 United Jewish Communities (“UJC”) 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 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 http://www.travel.state.gov, 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 UJC, UJC 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 UJC, 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 myself and UJC.

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: UJC requires that each adult 18 and over whose name appears on the same application, personally sign this security notice/release. Spouses, roommates, etc. may not sign for one another. Thank you for your cooperation.

Participant #1 (Print Name): ___________________________ Signature:_________________________________Date: ___________

Participant #2 (Print Name): ___________________________ Signature:_________________________________Date: ___________
Mission Release.Israel. (plus) August.2007

Travel Warning
United States Department of State
Bureau of Consular Affairs
Washington, DC 20520

ISRAEL, THE WEST BANK AND GAZA

This Travel Warning is being issued to update information on the general security environment in Israel, Jerusalem, the West Bank, and the Gaza Strip, and to reiterate threats to American citizens and U.S. interests in those locations. The Department of State urges U.S. citizens to remain mindful of security factors when considering travel to Israel and Jerusalem at this time. In addition, the Department of State urges U.S. citizens to defer travel to the West Bank and to avoid all travel to the Gaza Strip. This warning supersedes the Travel Warning issued January 17, 2007.

American citizens in the Gaza Strip should depart immediately, a recommendation that the State Department has maintained and renewed since the deadly roadside bombing of a U.S. Embassy convoy in Gaza on October 15, 2003. This recommendation applies to all Americans, including journalists and aid workers.

The Gaza Strip has witnessed considerable violence in recent months, both between Palestinian factions and between Israeli security forces and armed Palestinian groups. Similar incidents have also occurred in the West Bank. Violent demonstrations, kidnappings and shootings have also occurred in both the Gaza Strip and the West Bank. Areas of violent conflict shift rapidly and unpredictably. Militants have continued to abduct Western citizens, and terrorist organizations have threatened attacks against U.S. interests. Hamas, a designated foreign terrorist organization, violently assumed control over Gaza in June 2007, making the already dangerous security situation there even more precarious. The American International School in northern Gaza was the target of an attack on April 21, 2007.

Militant groups in Gaza persist in launching rocket attacks against nearby Israeli towns. The IDF (Israeli Defense Forces) often responds to such attacks. It also continues to carry out security operations in the West Bank, including targeted attacks and ground incursions, which have led to deaths and injuries to bystanders. Rocket fire from Lebanon , except for one recent incident, has ceased since the passage of UN Security Council Resolution 1701 in August 2006.

Some Americans and Europeans involved in demonstrations and other such activities in the West Bank have become involved in confrontations with Israeli settlers and the IDF. The State Department recommends that Americans, for their own safety, avoid demonstrations.

For safety and security reasons, U.S. Government American personnel and dependents are prohibited from traveling to any cities, towns, or settlements in the West Bank, except for mission-essential business or other approved purposes. For limited, personal travel, U.S. government personnel and family members are permitted to travel through the West Bank using only Routes 1 and 90, to reach the Allenby/King Hussein Bridge or the Dead Sea coast near Ein Gedi and Masada. They are also permitted to travel north on Route 90 from Allenby/King Hussein Bridge to the Sea of Galilee. All of these routes are for transit only, with stops permitted only at Qumran National Park off Route 90 by the Dead Sea. Each such transit requires prior notification to the Consulate General’s security office and must occur during daylight hours. U.S. Government personnel and family members are permitted both official and personal travel on Route 443 between Modi’in and Jerusalem without prior notification, during daylight hours only. Travel to the Gaza Strip by U.S. Government personnel is prohibited. The Department of State strongly recommends that private American citizens not travel to the Gaza Strip. Those in Gaza should depart immediately.

All travelers who enter or travel in the West Bank should exercise particular care when approaching and traveling through Israeli checkpoints and should expect delays and difficulties. Travelers should also be aware they might not be allowed passage through checkpoints.

Israeli authorities are concerned about the continuing threat of suicide bombings. The January 2007 bombing in Eilat, the April 2006 and January 2006 suicide bombings in Tel Aviv, the December 2005 suicide bombing in Netanya and a similar incident in Hadera in October 2005 are reminders of the precarious security environment. The threat of such attacks is ongoing. The U.S. Government has received information indicating that American interests could be the focus of terrorist attacks. For that reason, American citizens are cautioned that a greater danger may exist in the vicinity of restaurants, businesses, and other places associated with U.S. interests and/or located near U.S. official buildings, such as the U.S. Embassy in Tel Aviv and the U.S. Consulate General in Jerusalem .

American citizens are urged to exercise a high degree of caution and common sense when patronizing restaurants, cafes, malls, places of worship, and theaters, especially during peak hours. Large crowds and public gatherings should be avoided to the extent possible, and personnel should be alert to street vendors who sometimes aggressively harass tourists. American citizens should take into consideration that discos and nightclubs, as well as public buses, trains and their respective terminals are "off-limits" to U.S. Government personnel.

Violence between organized criminal elements sometimes occurs in areas frequented by foreigners and has occasionally resulted in death or injuries to bystanders. While American citizens have not been the target of such violence, they should be aware of their surroundings and follow common sense precautions to avoid it.

The State Department urges American citizens to remain vigilant while traveling throughout Jerusalem, especially within the commercial and downtown areas of West Jerusalem and the city center. Israeli security services report that they continue to receive information of planned terrorist attacks in and around Jerusalem . The last terrorist bombing in Jerusalem was on September 22, 2004. Spontaneous or planned protests within the Old City are possible, especially after Friday prayers. Some of these protests have led to violent clashes. The Old City of Jerusalem is off-limits to U.S. Government personnel and their family members after dark during the entire week and between the hours of 11 am and 2 pm on Fridays.

Americans in Israel, Jerusalem, the West Bank and the Gaza Strip are strongly encouraged to register with the Consular Section of the U.S. Embassy in Tel Aviv or the Consular Section of U.S. Consulate General in Jerusalem through the State Department's travel registration website, https://travelregistration.state.gov. U.S. citizens who require emergency services may telephone the Consulate General in Jerusalem at (972) (2) 622-7250 or the Embassy in Tel Aviv at (972) (3) 519-7355.

As a consequence of the current limitations on official travel to the West Bank, and the prohibition on travel by U.S. Government employees to the Gaza Strip, the ability of consular staff to offer timely assistance to U.S. citizens is extremely limited, particularly in the Gaza Strip.

Current information on travel and security in Israel, Jerusalem, the Gaza Strip, and the West Bank may be obtained from the Department of State by calling 1-888-407-4747 within the United States and Canada , or, from overseas, 1-202-501-4444. For additional and more in-depth information about specific aspects of travel to these areas, U.S. citizens should consult: the Consular Information Sheet for Israel, the West Bank, and Gaza; the Middle East and North Africa Public Announcement; and the Worldwide Caution Public Announcement. These are available on the Department’s Internet website at http://travel.state.gov. Up-to-date information on security conditions can also be accessed at http://usembassy-israel.org.il or http://jerusalem.usconsulate.gov.

I hereby grant the permission, without reservation, to United Jewish Communities (“UJC”) to take and to use photographs and/or sound/image recordings of me, to describe and to use the same for promotion of good will, public education, and/or fundraising and other related activities of UJC, and I waive any right to inspect or approve the photograph(s) or finished version(s) of works, including web site, incorporating the photograph(s).

I release UJC, its officers, trustees, agents, employees, independent contractors, licensees and assignees (including photographers), from all claims that I may have or might have, for any cause of action arising out of taking and/or use of the photographs and/or any sound/image recordings, and/or description of the same, be it blurring, distortion, alteration, optical illusion, or use of composite form whether intentional or otherwise, that may occur or be produced in taking of photographs, or any processing toward the completion of the finished product, unless it can be shown that they and the publication thereof were maliciously caused, produced and published solely for the purpose of subjecting me to conspicuous ridicule, scandal, reproach, scorn and indignity.

I recognize that UJC owns the copyright (or may apply for copyright) in these photographs and other works and creations, and I hereby waive any claims I may have based on any usage of the photographs or works derived therefrom in any form, whether it be printed, projected, televised or transmitted via the web, or/and at any time, be it in the present or in the future, including, but not limited to claims for either invasions of privacy or libel.

I am of full age and competent to sign this release. I agree that this release shall be binding on legal representatives, my heirs, assigns, and me. I have read this release and I fully understand its contents.

Adult’s Name _______________________________________ Signature _______________________________________ Date________

Complete address ___________________________________________ Telephone ( _____ ) ________________________

Email _________________________________________________________ Fax (_____ ) _______________________________

Adult’s Name _______________________________________ Signature _______________________________________ Date________

Complete address ___________________________________________ Telephone ( _____ ) ________________________

Email _________________________________________________________ Fax (_____ ) _______________________________