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Just off US 1, on the border
of North & South Brunswick
 
1001 Finnegans Lane
North Brunswick, NJ 08902

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    Youth: Israel Exchange Program: Hosting Form
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    Israeli Youth Hosting Form

    For your legibility, please fill in the form on screen then print and mail it.

    Name(s):  
    Address:  
    City/Zip:            Phone number (for chain): 
    Phones:   Day:       Evening:          Cell:  
    e-mail:     ID:

    Children's info:

    Name:   Age:      Phone: 
    Name:   Age:      Phone: 
    Name:   Age:      Phone: 
    Name:   Age:      Phone: 

    Lifestyle:

    Do you keep a kosher home? Yes   No
        If yes, do you go to non-kosher restaurants? Yes   No

    Do you travel or work on Shabbat? Yes   No

    Walking distance from the synagogue:

    Pets: (describe)

    Lanuage(s) spoken or understood:

    Dietary or other considerations (restrictions, allergies, vegan, vegetarian, etc.)

    Pre-existing commitments & dates. e.g. school, sports, SAT prep. work, etc.


    Mail to:
    Congregation B'nai Tikvah
    Attn: Youth Exchange
    1001 Finnegans Lane
    North Brunswick, NJ 08902
    1001 Finnegans Lane • North Brunswick, NJ • 08902     732-297-0696     Fax: 732-297-2673
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