Shabbat Hagshama Registration Form
Bursting out to reach new heights - ופרצת
In-town shabbaton, December 2-3, 2016. Cost is $9 grades 2-8, and $18 grades 9-12, if REGISTERED AND PAID by November 28th. After November 28th a $5 per family late fee will be assessed.
How many chanichim from your family (grades 2-8) will be attending lunch on December 3rd?
Please list the names of your chanichim, and include any allergies or dietary restrictions.
Please check the box for total cost of the lunch for chanichim - $9 per chanich.
How many chevraya bet (grades 9-12) from your family will be attending the shabbaton events on December 2nd and 3rd?
Please list the names of the chevraya bet attending and include any allergies or dietary restrictions.
Please check the appropriate box for the total cost for chevraya bet ($18 per person which includes the chicken for dinner, lunch, seudah shlishit, and the Saturday night event.)
Please write in your total cost for the Shabbaton. Add $5 for late registration. Payment should be sent to TMK, c/o Chagai Adler, 7741 Gannon Ave, 63130 or pay online at
I can help with:
Food preparation at Young Israel
Set up the day of the event
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