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Rockin
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Full Name (as on license):
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Email:
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Phone Number:
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Address:
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City, State, Zip
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Birth Date:
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College Name:
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Was your birth mother born Jewish?
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No
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Was your birth father born Jewish?
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No
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How did you hear about this trip?
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Have you ever been on an Aish trip?
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No
If yes, which trip and when?
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Do you know anyone who has been on an Aish trip?
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No
If yes, What are their names?
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What do you hope to gain from this trip?
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What does being Jewish mean to you?
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What are your top Priorities?
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