6th Grade B'nei Mitzvah Family Retreat 5784

Give

Give

March 16-17, 2024
URJ Camp Newman
Santa Rosa, CA

Parent/Guardian Information

* First Name of Parent/Guardian 1 Attending

* Last Name of Parent/Guardian 1 Attending

* Parent/Guardian 1 Email

* Parent/Guardian 1 Cell Phone

(xxx) xxx-xxxx

Additional Parent/Guardian Information

First Name of Parent/Guardian 2 Attending

Last Name of Parent/Guardian 2 Attending

Parent/Guardian 2 Email

Parent/Guardian 2 Cell Phone

(xxx) xxx-xxxx

6th Grader Information

* First Name of 6th Grader Attending

* Last Name of 6th Grader Attending

* Pronouns of 6th Grader Attending

Additional 6th Grader Attending Information

First Name of Additional 6th Grader Attending

Last Name of Additional 6th Grader Attending

* Pronouns of Additional 6th Grader Attending

* Will you have additional children attending this retreat?

Select OneYesNo

Additional Sibling Information

First Name of Sibling Attending

Last Name of Sibling Attending

Grade of Sibling Attending

First Name of Additional Sibling Attending

Last Name of Additional Sibling Attending

Grade of Sibling Attending

Health and Safety Section

Please note that 6th graders will be housed in cabins, overnight camp-style.
Parents and siblings will be housed by family. Each family will have a private room & bathroom.

* Please list any dietary restrictions or allergies for your family members attending:

Please note: Camp Newman maintains a Kosher-Style kitchen, so no pork or shellfish will be served. If there are none, please write: NONE

* Please share any relevant information about family members who are attending this event who may require special accommodations

This should include mobility, hearing or sight impairment, severe allergies to non-food items, and anything else you would like us to know. If there are none, please write: NONE

Retreat Cost

* Number of Participants

Cost:
$400 for two participants.
$600 for three or more participants.
All costs include housing, meals, snacks, programming, and special activities.

Total Amount Due:

Thu, October 17 2024 15 Tishrei 5785