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SPS x Block Center Shabbaton Retreat
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We are so excited for our first SPS retreat! Should you wish to attend and the cost would be a barrier please reach out to Abby Johnson-Guez at ajohnson@spsnyc.org for a confidential conversation. For all other questions regarding the retreat please reach out to Rabbi Dave at rabbidave@spsnyc.org.
Enter the number of adults you are registering ($299 per person)
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Adult #1 Full Name:
Adult #1 Cell Phone Number:
Adult Number 1 Email:
Adult #1 - Any allergies, dietary restrictions, or medical needs we should be aware of:
Adult #2 Full Name:
Adult #2 Cell Phone Number:
Adult Number 2 Email:
Adult #2 - Any allergies, dietary restrictions, or medical needs we should be aware of:
If you are registering more than 2 adults, please list their names, phone numbers emails, and any dietary restrictions/allergies/medical needs here:
Enter the number of teens (8th-12th grade) you are registering ($199 per person)
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Teen #1 Full Name:
Teen#1 Cell Phone Number:
Teen #1 Email:
Teen #1 DOB:
Teen #1 - Any allergies, dietary restrictions, or medical needs we should be aware of:
Check here if Teen #1 is interested in serving as a volunteer counselor during the retreat
Check here if Teen #1 is interested in serving as a volunteer counselor during the retreat
Teen #2 Full Name:
Teen#2 Cell Phone Number:
Teen #2 Email:
Teen #2 DOB:
Teen #2 - Any allergies, dietary restrictions, or medical needs we should be aware of:
Check here if Teen #2 is interested in serving as a volunteer counselor during the retreat
Check here if Teen #2 is interested in serving as a volunteer counselor during the retreat
Teen #3 Full Name:
Teen#3 Cell Phone Number:
Teen #3 Email:
Teen #3 DOB:
Teen #3 - Any allergies, dietary restrictions, or medical needs we should be aware of:
Check here if Teen #3 is interested in serving as a volunteer counselor during the retreat
Check here if Teen #3 is interested in serving as a volunteer counselor during the retreat
If you are registering more than 3 teens, please list their names, phone numbers, emails, DOBs, any dietary restrictions/allergies/medical needs here and if your teen is interested in being a volunteer here:
Enter the number of children (7th grade and younger) you are registering ($150 per child)
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Child #1 Full Name:
Child #1 DOB:
Child #1- Any allergies, dietary restrictions, or medical needs we should be aware of:
Child #2 Full Name:
Child #2 DOB:
Child #2- Any allergies, dietary restrictions, or medical needs we should be aware of:
Child #3 Full Name:
Child #3 DOB:
Child #3- Any allergies, dietary restrictions, or medical needs we should be aware of:
If you are registering more than 3 children, please list the remains children name, DOB, and any allergy/medical needs here:
Check here if you'd be interested in round-trip transportation to and from the retreat center for an additional cost.
Check here if you'd be interested in round-trip transportation to and from the retreat center for an additional cost.
Please list the name and number of an emergency contact for you/your family:
The per person rate will not fully cover the costs of the retreat and/or may be prohibitive to other members of our community. Please enter any amount you'd like to contribute to help all members of our community interested attend the retreat below.
Thu, May 9 2024
1 Iyyar 5784
Thu, May 9 2024 1 Iyyar 5784
