CBS Retreat Registration
November 3-5, 2017 at Camp Ramah, 39 Bennett St, Palmer, MA 01069

Early Bird Registration by Wednesday, Oct. 11, 2017:

Adults: $100/ person
Youth (6-18) $50/ person
Children 5 and under: free
Family Cap: $250

Guest House Room: $100 additional fee

After Oct. 11, 2017:
Adults: $125/person
Youth and children fees remain the same
Family Cap: $300
Email address *
Phone number *
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Additional Email addresses and/or phone numbers
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Name(s) of adult(s) *
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Names and ages of children
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Food Allergies/Dietary Restrictions
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Our first priority is to provide private sleeping and bathroom spaces for all. However, in order to accommodate as many participants as possible, there may be the need to share living and/or bathroom spaces.
Please see below and indicate your preferences: *
Please list the individuals or families with whom you are comfortable sharing space:
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Please list any special accommodations needed for the weekend:
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Volunteers are needed to help in various areas throughout the weekend. Please check off all areas where you would be willing to help:
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This form was created inside of Congregation Beth Sholom.