3rd Annual BJE Day School & Yeshiva Admins' Retreat (copy)

21st Century Learners: Integrating New Literacies Into Curriculum and Assessment

Please include below information for EACH participant attending from your school. Information provided will be used for Retreat Badges & Check-in, therefore we ask that you fill out each field completely for each participant from your school. If there are more than 6 people from your school attending, please use an additional form, or email Farrah Noah at fnoah@bjela.org with their information.

Participant 1

First Name

Last Name

School

Title

Email Address

Phone Number

Do you require a vegetarian meal?

YesNo

Please list any food allergies we should be aware of.

Participant 2

First Name

Last Name

School

Title

Email Address

Phone Number

Do you require a vegetarian meal?

YesNo

Please list any food allergies we should be aware of.

Participant 3

First Name

Last Name

School

Title

Email Address

Phone Number

Do you require a vegetarian meal?

YesNo

Please list any food allergies we should be aware of.

Participant 4

First Name

Last Name

School

Title

Email Address

Phone Number

Do you require a vegetarian meal?

YesNo

Please list any food allergies we should be aware of.

Participant 5

First Name

Last Name

School

Title

Email Address

Phone Number

Do you require a vegetarian meal?

YesNo

Please list any food allergies we should be aware of.

Participant 6

First Name

Last Name

School

Title

Email Address

Phone Number

Do you require a vegetarian meal?

YesNo

Please list any food allergies we should be aware of.

Registration Fees & Payment

Registration Fees:

$80/person (BJE Schools)

$115/person (non-BJE Schools)

If paying with credit card, select the appropriate fee based on your affiliation with BJE under “Make a Payment” and enter the number of participants you are registering under “Quantity”. Then click “Submit” and you will be directed to pay through PayPal.

If you prefer to pay by check, select the appropriate fee based on your affiliation with BJE under “Make a Payment” and enter “0” for the number of participants under “Quantity”. Your registration will be processed and an invoice will be sent to your school. Checks should be made out to BJE: Builders of Jewish Education and sent to:

BJE: Builders of Jewish Education

Attn: Farrah Noah/YDS Retreat

6505 Wilshire Blvd. #300

Los Angeles, CA 90048

Make a Payment

Quantity