Flight Form

Participant Name*

Please list your name using the same name listed in your myncsy account.
Legal Name*
First Last
Date of Birth*
Chapter*
Parent's Name*
First Last
Parent Email Address*
Event Name*
Event Date*
MM slash DD slash YYYY
Parental Permission*
- I give permission for Southwest NCSY/JSU to book a flight for my child to attend the 2024 Southwest Regional Shabbaton.

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