‘Masters’ Shabbaton | Application

Once your application, below, is accepted (given there is a specific target demographic for the event and limited space) and references are checked, if applicable (given it’s a shared housing situation), Jodi will send you a password to access the Registration link.  This is where you will fill out the secondary full registration and access the payment page.  At that point, your registration will be complete once that form is filled out and full payment is received.

Thanks,
Jodi

Event Registration for Adam Ross Memorial 'Masters" Winter MoDox Outdoor Adventure Shabbaton - Application -

Adam Ross Memorial 'Masters" Winter MoDox Outdoor Adventure Shabbaton - Application - FREE EVENT

First Name:

Last Name:

E-Mail:

Phone:

Street:

City:

State or province:

Zip:

Additional attendees?

Are you strictly Shomer Shabbat?

What is your current age?

If you don't know Jodi directly, please provide a personal reference with contact info (phone & e-mail):

If you don't know Jodi directly, please provide a Rabbincal reference with contact info (phone & e-mail):

I have read everything on the Itinerary, Menu, & FAQs links, and fully understand all aspects of the Shabbaton setup and plans?

Please email jodiberris@aol.com a copy of your passport or driver's license.


Enter the security code as it is shown (required):

[This resource requires a Javascript enabled browser.]

(Only click the Submit Button Once)