6th Grade B'nei Mitzvah Family Retreat 5785

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Give

March 22-23, 2025
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 housing is in cabins, overnight camp-style.
6th graders will bunk together by gender. 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:

Fri, March 21 2025 21 Adar 5785

Congregation Beth Am | 26790 Arastradero Road | Los Altos Hills, CA 94022 | (650) 493-4661

We strive to live as a holy community whose study and practice of Judaism inspires and challenges us to "do justice, to love kindness and to walk humbly with our God" (Micah 6:8).

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