| Resume a previously saved form
Resume Later

In order to be able to resume this form later, please enter your email and choose a password.

YJ Teens and Hadassah
Take DC

YJ Teens and Hadassah members will convene in DC to explore the YJ National Initiative: Women's Rights.

Participants will have an opportunity to hear about advocacy and lobbying, develop skills for activism, dialogue with YJ Teens and Hadassah members, and hear from those involved locally on Capitol hill.

Kosher lunch and snacks will be provided (as well as dinner for those traveling from the NYC area).
When: Sunday April 23, 2023
12PM to 4PM ET Where: Sixth and I 600 I St NW, Washington, DC 20001
Cost: $54.00**

**If you would like to travel with Young Judaea from NY/NJ Metro area there will be an additional $54.00 charge

To complete this form, you will need:
  1. Registering participant's and parent's* contact information
  2. Registering participants dietary restrictions, insurance information* (including a copy of insurance card), and an emergency contact*
  3. Proof of COVID-19 Vaccination (upload vaccination card)
* Only applicable for YJ Teens

Participant Registration Information

Participant Mailing Address

Parent Information and Photo and Video Consent

Health and Medical Form

Consent, Release and Indemnification

Please Read and Acknowledge

The Parent/guardian signing below (“Parent”) hereby consents and gives permission to participate in YJ Teens and Hadassah Take DC the “Event” which term shall include all times and all activities during or related to the Event, travel to, from and during or related to the Event, and early dismissal, expulsion or other removal, if any, from the Event) on or about the following date(s): April 23, 2023 and any date(s) to which such Event may be postponed or rescheduled. Parent and Child each agree that Child will observe and be bound by all policies, terms, conditions, rules and regulations and restrictions (including, without limitation, rules related to discipline and drug and alcohol use), whether written or unwritten, of the Event or Young Judaea (the “Program Terms”), including any such Program Terms as may be changed, modified, or newly established at any time, including after this Consent, Release and Indemnification is signed.

Click here to read the full Consent, Release and Indemnification agreement.

Young Judaea Event Rules of Good Conduct

The following rules and restrictions are in place to provide for the health, safety, and welfare of all participants at the Young Judaea Event. During the Event, Young Judaea may find it necessary to alter and/or add rules and restrictions. Participants agree to fully comply with all Event rules and restrictions including any alterations and/or additions made by Young Judaea. All Event rules apply throughout the entirety of the Event including during free time. Any failure to comply with Young Judaea’s rules and restrictions and any alterations and/or additions thereto may result in disciplinary measures as set forth in these Rules of Good Conduct, in the sole discretion of Young Judaea, up to and including immediate dismissal and/or other removal from the Event. The following Event rules are not exclusive and the failure to specify in each rule that violation may result in dismissal or other removal from the Event shall not preclude Young Judaea from doing so in its sole discretion. Further, the failure of Young Judaea at any time to enforce any rule or restriction or to exercise any right with respect to disciplinary action, will not be construed as a waiver of any such right, will not affect any subsequent violation, and will not prejudice Young Judaea in connection with any subsequent enforcement or disciplinary action.

Participants and parents/guardians have read, understand, and agree to follow these policies.

1. All participants have read, understand and agree to follow the Young Judaea Tobacco, Drug and Alcohol Policy (the “Drug and Alcohol Policy”) set forth above as part of this Consent, Release and Indemnification. Any participant found to be in violation of the Drug and Alcohol Policy understands that he/she will be disciplined in accordance with the Drug and Alcohol Policy.

2. In order to provide an atmosphere which is comfortable for everyone, Kashrut will be observed.

3. No one may leave the Event grounds (as such grounds are defined by the Event manager in their sole discretion) without specific permission of the Event manager.

4. All participants must obey the staff members at all times. Participants must respect each other and all other people they come into contact with during the Event and refrain from inappropriate behavior.

5. All participants must respect the property of each other and of the Event site.

6. All participants will attend and participate in the entire Event, including all of its scheduled activities, unless otherwise informed by the staff, it being understood that physical sports are always optional.

7. Young Judaea reserves the right to search the property and/or accommodations of any participant including accommodations not owned and/or operated by Young Judaea, with or without the presence of the participant.

8. Participants are not permitted to possess knives or other weapons of any kind.

9. Participants are jointly responsible with their parent(s)/guardian(s) for any damage, including graffiti, to the physical facilities used for the Event and parent(s)/guardian(s) will be billed to cover the cost of the repair.

10. Participants disrupting the group, not adhering to Event rules and policies and/or not participating in mandatory Event activities, as determined in the sole discretion of the Young Judaea staff, will result in disciplinary action and/or dismissal.

11. Participants will be advised of further rules which govern the Event, and by which each participant agrees to be bound, at the start of and throughout the Event.

Any participant who is dismissed or otherwise removed from the Event, will be sent home at their own expense. The participant and their parent/guardian are responsible for the cost of returning them home, including the return fare, shipping of baggage, any other associated expenses, and for any and all damages arising out of the involvement of the participant and/or the participant’s actions. The above also applies to any participant who voluntarily removes themselves from the program.

In all cases of discipline, dismissal and/or other removal, the determination of Young Judaea regarding the Event rules, restrictions, and policies and their application shall be final and not subject to challenge in any forum. In addition, Young Judaea reserves the right to contact the local authorities. Any violation of law by or involving a participant will be subject to the penalty, laws and rules imposed by the local jurisdiction, and Young Judaea will not undertake to provide participant with legal assistance.

Payment Information

Transportation Information

We will be traveling together by bus from near Penn Station at West 34th Street in Manhattan, meeting at 6:45 am and returning at 9:45 pm. 

A Young Judaea, Year Round staff member will be traveling with the group.

Payment Information