Program Registration

Campaign ID

Campaign Type

Sponsorship Campaign ID

Online Meeting Info

# Attendees

Reg cap

Difference

Open?

Hidden for Registration Types

Sponsorships 2

Yes

Hybrid?

Yes

Program Information

Program title:

Program description:

Tuesday, September 16 | 8:00-9:00pm
Thank you for your interest in CBST's 2026 Queer Trip to Israel and the West Bank. Please fill out the form to register for our informational session to learn more about the trip, and to receive the Zoom link for September 16.
Please note, our trip is open to all CBST members. All are welcome to attend the info session. Interested in learning about CBST membership? Visit cbst.org/membership or email Membership and Engagement Manager, Ruth Kleinman, at membership@cbst.org.

Registration Information

If you are attending with guests, please ensure you register all guests in addition to yourself. To add additional participants, please check the "Would you like to add additional guests from your own household?" checkbox below.

Primary Participant Information

First name:

Last name:

Email:

Cell phone:

Attendance Type

OnlineIn-Person

Adding Additional Participants

Check the box below to open up registration options for additional guests. When adding additional participants, please only include those within your own household. If you want to register a participant who is not part of your household, please complete a separate registration form for them (or send them the form link to complete it themselves).

Would you like to add additional guests from your own household?

Yes, add additional guests from my household

Additional Participant Information

When adding additional participants, please only include those within your own household. If you would like to add more than one additional participant, please click the "Add a Participant" link at the bottom right of this section.

Is the participant an adult or child (under 18)?

AdultChild

Participant first name:

Participant last name:

Participant email:

Participant birthdate:

Attendance Type

OnlineIn-Person

Adult

Child

Total Adult

Total Child

Program Sponsorship

Please consider making a tax-deductible donation to help support programming at CBST.

Contribution amount at your discretion:

Program sponsorship subtotal:

Hidden Fields

Form Subtotal

Phone Number

Show/Hide Payment Information

Payment Checkbox

Payment Information

I would like to pay by:

ACH/E-check (selecting this option saves CBST money; thank you!)Credit Card

I would like to cover the 3% processing fee

Total Processing Fee

Total Amount

ACH/eCheck Information

Account holder name:

Bank name:

Bank account type:

Bank routing number:

Confirm bank routing number:

Bank account number:

Confirm bank account number:

Card Payment Information

First name on card:

Last name on card:

Card number:

Exp. MM:

Exp. YY:

CSV

3 or 4 digit security code on your card

Billing address:

Billing city:

Billing state:

Billing ZIP:

Authnet_Hidden_Fields

Registration Closed

Registration for this program is now closed. Please contact programs@cbst.org if you have questions.

Registration Error

You have registered only adult(s) for a Families with Kids program. Please go back and register at least one child guest in the Registration Information section above by using the "Yes, add additional guests from my household" checkbox and the "Add a Participant" link in the Additional Participant Information box.