2018 HuJews Conclave Registration Chaperone (Deadline is February 4, 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.
Chaperone's First Name *
Chaperone's Last Name *
Chaperone's Cell Number *
Chaperone E-mail *
Alternative Phone Number *
Number and Phone Type
Chaperone's Birth Date *
Month, Date, Year
SHJ Community Affiliation *
List Community or N/A
T-Shirt Size *
Registration Completed By *
I certify that the information in my application is accurate and true. Enter electronic signature.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Additional Terms