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MJE Spring Retreat Application: Berkshires Hills | June 22-24, 2018
First Name *
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Last Name *
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Untitled Title
Age *
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Describe Your Jewish Education *
Describe Your Jewish Affiliation *
Name of Highschool Attended *
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Email Address *
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Gender *
Was you mother born Jewish? *
Who was most influential in encouraging you to apply to this trip? *
If you chose "Friend", please tell us the NAME so we can give them credit!
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Tell us a little about yourself any why you hope to attend MJE's Annual Retreat with YJPs! *
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Facebook Name so we can add you to Fb group *
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What were the last 2 MJE events you've been to, if any? *
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Cell Phone Number *
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Home Address *
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