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Students Registration for the Mehut Studies 2022/23

First Name *

Last Name *

Email *

Phone *

Date of Birth *

Sex

Male

Female

Mehut Group *

I am part of the Mehut Group in (City):

Hebrew Name

Hebrew Mother Name

Background: Check your Jewish Grandparents *

Paternal Grandfather

Paternal Grandmother

Maternal Grandfather

Maternal Grandmother

Converted parents/grandparents

Languages

English Proficiency *

Speak Basic Level

Speak Fluent

Speak Native

Understand & Read, but don't speak

Read but don't understand nor speak

Don't know English at all

Shipping Information

Street *

Extended Address

City *

Postal Code *

Country *

Rewards

Only a preference, you will take your final decision at the end of the Study Program

As per the Reward for completing the Learning Program successfully, I prefer:

The "Mehutton" - the European Grand-Trip

The Money Reward (check with your Rabbi if offered to your Group)

The NYC'26 CYP Event

I haven't decided on any preference now

I Understand and Agree to all terms of the Program, as explained in the dedicated website Page

Yes, I Understand and agree.