Congregational Shabbaton 2023

Personal Information

• * First Name:
• * Last Name:
• * Email Address:
• * Confirm Email Address:

• Fee

  Type	Fee
  Family Cap Amount (more than 3 people) Before 6/30	$300.00
  $100/Per Person Before 6/30	$100.00
  Family Cap Amount After 6/30	$500.00
  $150/Per Person After 6/30	$150.00

Please include the first and last names of each participant and the grade level for each child.

You may add a maximum of 5