ELITE & RISE Retreat Application

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Join Us For Our Tenth Annual Retreat!

First Name *

Last Name *

Address *

Email Address *

Cell Number *

Year Graduated

Cost of a retreat is $350 per person. While most rooms have 2 queen beds, there is a slight possiblility we may need to overflow into additional rooms with a king bed and cot. Rooms will be assigned on a first come first serve basis. (It is our hope that we may be able to get all rooms with 2 queens)

*Please note: This subsidized price includes all meals, taxes, tips, lodging and Motzei Shabbos program. We thank our generous sponsors who have enabled us to offer this price despite the tremendous rise in costs. Funds are still needed! If you or someone you know would like to be a retreat sponsor, please contact us.

My room preference is:

Two Double Beds if available

I am flexible! Feel free to place me in a king room should the need arise!

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If Preferred, Please List Name Of Roommate

Please match me with a roommate

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Seating

Please Seat Me With The Following: (Up To 10 People Per Table)

Please place me at a table

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Dietary Restrictions:

Gluten-free

Other:

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Please Note: You may not bring your own food into the dining room unless cleared with the mashgiach prior to the retreat.

Both, application and payment including a non-refundable $20.00 registration fee, must be received in order to complete your reservation. You will receive an email confirmation once you are registered.

We have three convenient payment methods! *

1. Checks made out to ELITE can be dropped off at Chani Dresdner -6206 Cross Country Blvd 21215 PLEASE DO NOT MAIL ($370 Total)

2. Pay through Zelle. Send money to EliteRise.Baltimore@gmail.com ($370 Total)

3. Pay online using PayPal. Please note: there is a $15.00 fee to use the PayPal option. ($385 Total)

Questions / Comments

Looking forward to hosting you at the retreat!

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