CBS 2012 Shabbaton Registration Form

Due to planning requirements, no registration will be accepted after Tuesday, Jan. 24.

Name [1] (required)

E-mail Address (required)

Session Aleph: Session Bet: Session Gimmel:

Name [2]

Session Aleph: Session Bet: Session Gimmel:

Name [3]

Session Aleph: Session Bet: Session Gimmel:

Name [4]

Session Aleph: Session Bet: Session Gimmel:

Name [5]

Session Aleph: Session Bet: Session Gimmel:

Name [6]

Session Aleph: Session Bet: Session Gimmel:

Name [7]

Session Aleph: Session Bet: Session Gimmel:

Meals

Friday Night Dinner, Adults/Children 11+ ($20 per person):
Friday Night Dinner, Children 10 & Under ($12 per child):
Please provide vegetarian meals for adults and vegetarian meals for children.

Shabbat Lunch, Adults/Children 11+ ($20 per person):
Shabbat Lunch, Children 10 & Under ($12 per child):

Childcare: $5/family each day

Name/Age:
 Friday  Saturday
Name/Age:
 Friday  Saturday
Name/Age:
 Friday  Saturday

Please check the time(s) below when you are available to volunteer. (To select multiple times, hold down the " CTRL" key.):

Total Fees

Registration Fee: $10 (waived before Jan. 18)

Meals: $

Childcare: $

Voluntary Contribution: $*

Total Cost (required): $**

* Please consider making a special gift in order to support Shabbaton 2012 and to honor some of the most important leaders and scholars of the Conservative Movement (listed in chronological order).

Zecharia Frankel: $18
Solomon Schechter: $36
Mathilde Roth Schechter: $54
Henrietta Szold: $72
Louis Finkelstein: $120
Nechama Liebowitz: $180

** The maximum cost for registration is $145 (per family). We encourage families to consider adding a voluntary contribution that will help underwrite the overall cost of the Shabbaton.

You will receive an e-mail confirmation within one business day acknowledging receipt of your registration and confirming the total cost. Payment should be sent to the synagogue office by the deadline.

If you have any questions, contact the synagogue office at (201) 833-2620 or matthew@cbsteaneck.org.