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Shabbaton Registration Form

Please complete to register online:

First name(s):
Last name(s):
Address:
City:
State:
Zip:
Telephone (Home):
Telephone (Work or Cell):
Email Address:
Congregation & City/Town:
Denomination:

Costs:
$400 - Double Occupancy, per person
$425 - Single Occupancy
or
$100 - Deposit, per person, balance due prior to July 29 .

Limited financial assistance may be available

Please consider making a tax-deductible donation to the Shabbaton Scholarship Fund to help those needing financial assistance attend the program. You may add a contribution when making payment.

Cancellation Policy: If cancellation is received up to 30 days in advance of event (June 29), registrant is entitled to a full refund, less $50 per person administrative fee. From 29 to 7 days in advance of event (June 30 through July 22) = 75% refund. Less than 7 days in advance (after July 22) = 50% refund.

   



It can take up to 45 seconds to process your submission - please be patient!

If you would rather not register online, please print this form and send it with a check to the address below.