2018 HuJews Conclave Registration (Deadline is February 14, 2018)
Join us in Philadelaphia March 23-25. We'll be staying at Hostel Chamounix (CHAM'-ah-nee) Mansion in Fairmont Park. Please plan to arrive by 2PM. We will depart at 11AM on Sunday. If flying in, please arrive into Philadelphia (PHL) International Airport. Transportation provided from airport and train station.
Participant's First Name *
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Participant's Last Name *
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Participant's Cell Number *
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Participant E-mail *
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Alternative Phone Number *
Number and Phone Type
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Parent/Guardian or Emergency Contact *
Full names
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Parent/Guardian Relationship *
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Address *
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Parent/Guardian E-mail *
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Parent/Guardian Preferred Phone Number and Type *
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Current Year in School *
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Participant's Birth Date *
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Roommate Preference
We cannot guarantee choices (Up to 7)
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SHJ Community Affiliation *
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Travel Arrangements. Please indicate if you are traveling alone or with a group. If with a group, please specify. *
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Traveling from what city *
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Plane Travel Airline (indicate none if coming by train) *
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Plane Travel Flight number *
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Plane Travel arrival time at Philadelphia
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Train travel (indicate arrival time into 30th Street Station)
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T-Shirt Size *
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Allergies and food restrictions *
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Medications *
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Registration Type (Please use PayPal at http://www.shj.org/youth-programs/youth-conference/) *
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