Minneapolis NCSY & JSU Relief Mission

Minneapolis NCSY & JSU Relief Mission Application Form

Please use this form to apply for our Relief Mission trip to New Orleans for Jewish 9th-11th grade public school teens over MLK Weekend, January 11-15! The cost of the trip is $699. Priority will be given to first time participants in overnight experiences with NCSY & JSU.

A deposit of 50% of the cost of the trip must be made to reserve your spot by 3 weeks before the trip, December 21. Full payment must be made two weeks in advance, by December 28. Participants who withdraw before December 28 will only receive a 50% refund but will be able to use the other 50% towards a future NCSY/JSU event. Participants who withdraw after December 28 will not receive a refund but can use 50% of the funds paid towards a future event.

Full Legal Name of Participant*

First Last

Birthdate of Particpant*

Participant Phone Number*

Participant Email*

Participant Grade*

9th
10th
11th
12th

Participant School*

Parent Name*

First Last

Parent Email*

Parent Cellphone Number*

In a few sentences please write why you would like to go on this trip?*

What is your sweatshirt size?*

Small
Medium
Large
XL

What are your summer plans? (Your answer will not impact acceptance.)*

I have read and agree to NCSY/JSU's refund policies.*

Confirmed

Signature*