Shabbaton 2014

Friday, July 18 - Sunday, July 20  

Featuring: Rabbi Yehoshua Gordon

 

Registration Form

Please fill out the form below carefully.

Full payment must be included with registration.
When you press submit, this form will be sent to our administration office and your payment will be processed.
 
 

Name

First 

 

 Last

 
         
Address Street
City
Prov                Postal/Zip
     
Country
Contact Information Phone
  Email
 

 

There will be programs for children during all lectures.

Shabbaton Cost

Cost includes all meals, lectures, and programs for children.

Early Bird Registration is open until Monday, July 7.

     Early Bird  Regular
 Adult  $60  $75
 Child  $35  $50
 Family  $180  $235

 

   Sponsor  $360  (tax receipt given)

 

Attendee Information

How many people will be coming?

Adults  
Children  

 

Please write the full name(s) of all attendees:

Adults:

 

Children:

 

 

Payment Information

Important: All forms must be completed and submitted with payment.

Total Amount to be Charged:   

Visa  Exp.
Mastercard  Exp.
Amex   Exp.

 Name on Card:
 

Date of Registration:

Additional Notes: