Holy Land Encounter – Application

  • Personal information

  • Required if you are under 18 at the time of the trip
  • Required if you are under 18 at the time of the trip
  • e.g. 123-456-7890
  • e.g. 123-456-7890
  • e.g. 123-456-7890
  • Required if you are under 18 at the time of the trip
  • This is needed to help facilitate our passage through customs.
  • Passport Information

  • If you already have a passport, enter your name as printed in the passport. If you do not have a passport yet, enter your full name exactly as you will submit it in the passport application.

    For USA citizens, visit travel.state.gov for instructions on getting a passport.
  • Education

  • Miscellaneous

  • Parents must sign for applicants under 18 years of age.

    I hereby authorize and consent to the use and reproduction by YSI staff or an authorized agent or assignee of any and all photographs taken of the above-named applicant for the purpose of promoting YSI programs, without any compensation to me. All film, together with any prints, shall constitute property of YSI, solely and completely.
  • Do you have any special dietary needs or medical conditions that we should be aware of?
  • Who recommended this program to you?