Pre-Rosh Hashanah Overnight
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PLEASE FILL OUT THE FORM ONE PERSON AT A TIME.
AFTER YOU CLICK "SUBMIT" THERE WILL BE AN OPTION TO SUBMIT ANOTHER RESPONSE.
Who are you? *
What is the name of the person attending? *
Transportation *
If you are driving and have room for other people to join, how much space do you have in your car?
Sleeping Arrangements *
Dietary Restrictions / Allergies
Medications (will be kept and handed out by the leaders)
Departure is Sunday afternoon. If you need to leave early please let us know.
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Medical Forms are required for participation in our trips. Please email the filled-out version to Shosh Kolatch (shoshkolatch@gmail.com)
Payment: The cost for this trip is: $40
Payments should be made out to Joseph Rosenfeld

Your registration in not complete until your payment is confirmed.
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A copy of your responses will be emailed to the address you provided.
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