Congregation Emanu-El Sukkot Retreat Registration
for weekend of Oct 10–12. Please submit by Sunday, Oct 5th.
Family Name
*
E-mail
*
Our participants
*
Estim. time of arrival
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
We have room for
*
extra people in our vehicle.
Leaving Victoria at
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
from the
neighbourhood
We will bring the following dishes
*
(vegetarian or dairy only - please note that the camp is nut-free)
We have the following allergies in our family
We will be bringing appropriate food for the person with allergies
Yes
No
We need a restriction on the following food(s) at the retreat
We need the following to be brought
(e.g., rice milk)
Each cabin side will have two or three family groupings. We are interested in
sharing a cabin with
(state up to two families)
We will stay at Surf Lodge
Yes
No
Other things the organisers should know about us
(e.g., rice milk)
We are paying by
Cash
Cheque (made out to Congregation Emanu-El)
Payment
*
is attached to printed copy of this form
will be made at the synagogue office before the retreat
will be brought with us to the camp
We need Leah to speak with us about financial assistance
Enter the message as it's shown
*
Submit
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