Midrasha Fall Shabbaton 2019
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November 1-3 at Camp Loma Mar
Please fill out the RSVP form below and let us know if you will be able to attend.
 *NOTE: Even if you purchased retreats with your registration at the beginning of the year, we still need you to RSVP here to attend.*

If you are CHANGING your RSVP from "yes" to "no", please contact Mark (mark@midrasha.org).  Cancellations will be charged based on the date/time stamp of the cancellation and based on each campus' billing policy.

The RSVP deadline is 11:59 pm on Thursday, October 17, 2019,

Retreat details will arrive 1-2 weeks before the retreat. For now, please plan on arriving to the bus pick-up at Netivot Shalom (Berkeley) on Friday by 2:00pm, B'nai Tikvah (Walnut Creek) by 1:20pm.

Don't hesitate to contact Mark Deutsch with any questions at mark@midrasha.org or call/text 510.843.4667.

Looking forward to a fun and meaningful Spring Shabbaton!
Teen First Name *
Teen Last Name *
Teen's Email Address
For information and survey following retreat
Teen Cell Phone Number (if applicable)
For contacting if teen is not present at bus location at departure time.
Bunk Preference (check all that apply) *
Required
RSVP *
Parent/Guardian Name *
Preferred Parent/Guardian E-mail Address for Retreat Updates. PLEASE SEPARATE with COMMAS if more than one address. *
Parent/Guardian Phone Number *
Please list a phone number(s) where you will be available on Friday at the time of the bus departure.
Which Midrasha campus does your teen attend? *
Where will your teen meet the bus on Friday, November 1?
Where should your teen be dropped off on Sunday, November 3?
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Teen Grade Level in Midrasha *
Teen's Dietary Restrictions? *
NOTE: Pescatarian (vegetarian + fish), kosher-style food will be served. Any teens who require a certified kosher meal will be provided pre-cooked, hechshered meals for the duration of the shabbaton.
Special Considerations for your Teen
NOTE: This information is confidential. Please indicate if you would like follow up.
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