BERKSHIRES NEW YEARS WEEKEND 2012 at the Shaker Mill
FOR ALL DETAILS OF THE WEEKEND, VISIT

http://www.davetrek.com/index_files/page0119.htm


DEADLINE TO RSVP

Early Bird RSVPs until Tuesday, December 18

All RSVPs by Tuesday, December 25




DEPOSIT REQUIREMENT TO RSVP:

 

In order to complete your reservation, you must make a $100 deposit ($200 for couples and families), postmarked or sent to paypal by the deadlines at the top of this page.

 

PAYMENT METHODS - CHECK OR PAYPAL

 

You may pay in one of two ways, via check or via paypal.

 

Via Check:

please send the payment/deposit , made out to “David Brotsky”

 

And mail it to:

 

David Brotsky
c/o Sharon Zavodnick
325 North 3rd Avenue
Highland Park, NJ 08904


 

In order to get the discounted rate for a given deadline, you need to have your deposit payment postmarked by the deadlines above. $100 deposit required for individuals, $200 for couples and families.

 

 

Via Paypal

 

Send me the payment/deposit via PayPal, via my email address:

 

davetrek@gmail.com

 

$100 deposit required for individuals, $200 for couples and families.

 

 

In order to get the discounted rate for a given deadline, you need to make your deposit payment into paypal  by the deadlines above.

 

PLEASE RSVP NO LATER THAN Tuesday, December 25
Sign in to Google to save your progress. Learn more
Last name *
First Name *
Phone Numbers *
cell, home, work, for rides and last minute changes
Email address *
for updates to the group
I plan on coming to the Weekend *
We want to know your intent for coming - however, once the event sells out, preference is given to those who are 'Yes' and who are coming  for at least 3 nights.
Length of Stay *
Select the Nights or option you plan to come for - preference for Shabbat stays is given to people coming for 3 nights or longer.
Required
Triple Room - I would be ok staying in a triple ( room with 3 people) and/or sleeping on a cot in a smaller room with 2 people, for a reduced rate *
The per person couple rate will apply when 3 are in a room and one bed is a cot, or if you are in a smaller 'single type' room where we place a cot, to squeeze in more folks if need be. There are only 1 or 2 rooms that could be triples and only if we need to do we ask people to sleep in a triple.
I would like a Single Room
This option, which is limited and may not be available (depending on the length of your stay)
Clear selection
I would like to stay over Tuesday Night *
Some may choose to stay Tuesday Night, to take full advantage of New Years Day. Limited food available for Tuesday Night.
Emergency Contact - Name *
Emergency Contact - Phone numbers *
cell, home and work, if possible
I have a special diet/allergy
we know about the extra meaters out there...this is for anything else! Let us know any details in 'other'
Clear selection
Group/Family Number of People coming with me
Include yourself in this number
Clear selection
Group/Family  - Please list the names and emails of any adult coming
for children, please include EACH child's name and ages as well
Deposit Requirement - Pay pal or check? *
You must make a deposit in advance to come - $100 for singles, $200 for couples and families - see the website for details
Activities *
Please specify which items you would consider for Wed, Thu, Friday & Sunday - let us know in comments or 'other' which days you would like to do what also! Also, if you do not have a car, your ability to do offsite activities besides hiking or tanglewood  may be limited.
Required
Teaching for REDUCED FEE- I am able to teach a class on shabbat (or during the event) and/or I am able to teach Yoga during the event.
Let us know what arts or crafts you can teach  and your level of experience teaching - if yoga, let us know what kind of yoga you teach, as well.
I would like to help with a dvar torah, or davening or leining
Clear selection
Men - My hebrew name is
This is for aliyot
Rides - Do you need a ride to the event? *
Please answer, whether you are driving up or if you are a passenger in another's car already, so we make sure to account for everyone's ride status
Passenger - I need a ride from the following location/someone is giving me a ride
Specify location, or who is giving you a ride and from where
Driver - I can offer the following number of people rides
enter number of passengers
Clear selection
Driver - I am leaving from the following location and time
Specify borough/town/street address, the day you are leaving and the time
Driver - I am driving up but can't offer a ride
let me know, so we don't worry about rides for you
Clear selection
I would like to help extra during the weekend, for a reduced rate
Clear selection
SHOPPING HELP - I would like to help extra, in advance of the weekend - I can shop and bring items to the weekend with a car
Answer this specifically as to what you can do/where you can shop, especially if you are able to shop at a place like Costco
How did you hear about this event?
If you are not already on our email list, let us know how you heard of this event.
Miscellaneous comments/Suggestions
Feel free to help us make this a better weekend
Submit
Clear form
Never submit passwords through Google Forms.
GoogleForms
This content is neither created nor endorsed by Google.