Housing Form
Chicago Yachad Seniors & Rayim Shabbaton w/Cong. Ezras Israel
November 16-17, 2018
Contact Chicago Yachad with any questions at 844-4-YACHAD or cohene@ou.org
Email address *
First & Last Name *
Your answer
Email *
Your answer
Cell Phone Number *
Your answer
Home Phone Number *
Your answer
Address *
Your answer
Do you prefer to host males, females or either? *
M
F
NP
M=Males; F=Females; NP= No preferance
How many beds do you have available? Are they in the same room? Other info about this space that we should know? *
Your answer
Are there (many) steps going up/down? Pets? Any other info we should know regarding your home? *
Your answer
Can you pick up (drive) your guests from CEI and bring them to your home on Friday at ~ 3:00pm? *
Can you drive your guests from your home on Friday to CEI for Mincha, arriving at ~ 4:05pm? *
Can you pick up (drive) your guests from CEI and bring them to your home on Motzaei Shabbos at ~ 5:45pm? *
Can you drive your guests from your home on Motzaei Shabbos back to CEI for their evening activity, arriving at ~ 6:30pm? *
Some of our post high-school Advisors from out of town (i.e. the young adults who work directly w/our Yachad members) may need housing on Motzaei Shabbos. Would you be able to host (Yes/No)? If so, how many? *
Your answer
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