REGISTRATION

Registration

Please complete this registration form for each individual traveller by April 15th, 2018. If you have not yet emailed in a copy of your current passport, please do so. They can be emailed directly to hiba.amjad@care.org. Note: Passports need to be valid until December 2018 at least.

Full name (as it appears in passport) Required

Name to be printed on tag (if different from above)

Email address: Required

Mobile phone number Required

Organization/Company Name Required

Title

Do you speak Arabic?

Yes

Fluency level?

Limited

Proficient

Arrival date and time in Amman or Tel Aviv Required

Arrival Airline and Flight Number Required

Origin city Required

Departure date and time Required

Departure Airline and Flight Number Required

Additional Information

Do you have any special dietary requirements or allergies?

Yes

If yes, please specify:

Do you require special access or assistance?

Yes

If yes, please specify:

Do you have any other requirements? Room requirements can be emailed directly to hiba.amjad@care.org.

All attendees: Please provide a 2-3 sentence introduction of yourself that we can share with the entire group. (e.g. background, current occupation, interests...) Required

Will you join the group visit to Petra, June 29th? ($165/person) Required

Yes