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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:
Please select one option:

Double Occupancy (prices are per person)
$370

Single Occupancy (prices are per person)
$405

Tax deductible contribution toward the Shabbaton Scholarship Fund: If you would like to make a donation to this fund, helping to make attendance possible for people needing financial assistance, please make your check out to SCM and mail it to the address below.
Limited financial assistance available

Cancellation Policy: If cancellation is received up to 30 days in advance of event (July 6), registrant is entitled to a full refund, less $50 per person administrative fee. From 29 to 7 days in advance of event (July 7 through July 31) = 75% refund. Less than 7 days in advance (after July 31) = 50% refund.

   



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

Need a blank Registration Form in hard copy to fill-in and mail back to us?