Kehilla's Annual Summer Retreat 2019
We're so glad you've decided to attend our Annual Retreat! Please take a few minutes to tell us about who will be attending:
How many adults are in your party (over the age of 12)?
Please select...
1
2
3
4
Adult 1
First Name
Last Name
Ticket Type (does not include camping)
Please select...
Young Adult/Low Income ($40)
Kehilla Member ($50)
Help Someone Else Attend ($70)
General Public ($65)
No one turned away for lack of funds - please mail
maya@kehillasynagogue.org
for info on financial assistance
You can opt out of dinner on Saturday, which will take $10 off your ticket total:
Opt Out of Dinner
I'll be at dinner
I have accessibility challenges that could be helped with accomodation
Please tell us how we can plan to help with accomodations:
Service and fun bring us together; everyone pitching in makes it affordable. Each person is asked to help with at least one meal or task. Please choose your task here:
Please select...
Wednesday between 5-8pm: help prepare food for the retreat in Kehilla's kitchen for 1-2 hours
Thursday 5-7pm: help prepare food for the retreat in Kehilla's kitchen
Friday between 5-8pm (only works if you won't be at the retreat on Friday): help prepare food for the retreat in Kehilla's kitchen for 1-2 hours
Friday 2-4pm: help load the truck at Kehilla
FULL DO NOT CHOOSE Friday at 5:45pm: pick up Pizza from LaneSplitters in Oakland and bring to Bort Meadow for dinner
FULL DO NOT CHOOSE Friday 4-5pm: help with general setup at the meadow
Saturday 6:30-8:30am: help with breakfast - first to get coffee :)
FULL DO NOT CHOOSE Saturday 9-10am: help unload the truck at Bort Meadow
Saturday 1 hour shift between 10am-2pm: Greet at the welcome tent
FULL DO NOT CHOOSE Saturday at 9:30am: help service leaders set-up tables, chairs, ritual items, etc
FULL DO NOT CHOOSE Saturday at 11:30: help w lunch setup
I'd like to lead a playshop! Contact me and let's talk.
FULL DO NOT CHOOSE Saturday (1:30ish): help w lunch cleanup
FULL DO NOT CHOOSE Saturday, 4pm: help w dinner setup
FULL DO NOT CHOOSE Saturday (6:30ish): help w dinner cleanup
Saturday night 1 hour between 6pm-9pm(ish): help build / tend the fire
Saturday 6:30pm: help load the truck at Bort Meadow
FULL DO NOT CHOOSE Saturday Evening: help with the talent show
Saturday night around the fire: Lead camp songs
Sunday 6:30-8:30am: help with breakfast - first to get coffee :)
Sunday 1-2pm: help unload the truck at Kehilla
This attendee is not able to volunteer with a task (due to age, ability)
Adult 2
First Name
Last Name
Ticket Type
Please select...
Young Adult/Low Income ($40)
Kehilla Member ($50)
Help Someone Else Attend ($70)
General Public ($65)
Saturday Dinner
Opt Out of Dinner
This attendee will be at dinner
Service and fun bring us together; everyone pitching in makes it affordable. Each person is asked to help with at least one meal or task. Please choose your task here:
Please select...
Wednesday between 5-8pm: help prepare food for the retreat in Kehilla's kitchen for 1-2 hours
Thursday 5-7pm: help prepare food for the retreat in Kehilla's kitchen
Friday between 5-8pm (only works if you won't be at the retreat on Friday): help prepare food for the retreat in Kehilla's kitchen for 1-2 hours
Friday 2-4pm: help load the truck at Kehilla
FULL DO NOT CHOOSE Friday at 5:45pm: pick up Pizza from LaneSplitters in Oakland and bring to Bort Meadow for dinner
FULL DO NOT CHOOSE Friday 4-5pm: help with general setup at the meadow
Saturday 6:30-8:30am: help with breakfast - first to get coffee :)
FULL DO NOT CHOOSE Saturday 9-10am: help unload the truck at Bort Meadow
Saturday 1 hour shift between 10am-2pm: Greet at the welcome tent
FULL DO NOT CHOOSE Saturday at 9:30am: help service leaders set-up tables, chairs, ritual items, etc
FULL DO NOT CHOOSE Saturday at 11:30: help w lunch setup
I'd like to lead a playshop! Contact me and let's talk.
FULL DO NOT CHOOSE Saturday (1:30ish): help w lunch cleanup
FULL DO NOT CHOOSE Saturday, 4pm: help w dinner setup
FULL DO NOT CHOOSE Saturday (6:30ish): help w dinner cleanup
Saturday night 1 hour between 6pm-9pm(ish): help build / tend the fire
Saturday 6:30pm: help load the truck at Bort Meadow
FULL DO NOT CHOOSE Saturday Evening: help with the talent show
Saturday night around the fire: Lead camp songs
Sunday 6:30-8:30am: help with breakfast - first to get coffee :)
Sunday 1-2pm: help unload the truck at Kehilla
This attendee is not able to volunteer with a task (due to age, ability)
Adult 3
So glad you could join
First Name
Last Name
Ticket Type
Please select...
Young Adult/Low Income ($40)
Kehilla Member ($50)
Help Someone Else Attend ($70)
General Public ($65)
You can opt out of dinner on Saturday, which will take $12 off your ticket total:
Opt Out of Dinner
This attendee will be at dinner
Service and fun bring us together; everyone pitching in makes it affordable. Each person is asked to help with at least one meal or task. Please choose your task here:
Please select...
Wednesday between 5-8pm: help prepare food for the retreat in Kehilla's kitchen for 1-2 hours
Thursday 5-7pm: help prepare food for the retreat in Kehilla's kitchen
Friday between 5-8pm (only works if you won't be at the retreat on Friday): help prepare food for the retreat in Kehilla's kitchen for 1-2 hours
Friday 2-4pm: help load the truck at Kehilla
FULL DO NOT CHOOSE Friday 4-5pm: help with general setup at the meadow
Saturday 6:30-8:30am: help with breakfast - first to get coffee :)
FULL DO NOT CHOOSE Saturday 9-10am: help unload the truck at Bort Meadow
Saturday 1 hour shift between 10am-2pm: Greet at the welcome tent
FULL DO NOT CHOOSE Saturday at 9:30am: help service leaders set-up tables, chairs, ritual items, etc
FULL DO NOT CHOOSE Saturday at 11:30: help w lunch setup
I'd like to lead a playshop! Contact me and let's talk.
FULL DO NOT CHOOSE Saturday (1:30ish): help w lunch cleanup
FULL DO NOT CHOOSE Saturday, 4pm: help w dinner setup
FULL DO NOT CHOOSE Saturday (6:30ish): help w dinner cleanup
Saturday night 1 hour between 6pm-9pm(ish): help build / tend the fire
Saturday 6:30pm: help load the truck at Bort Meadow
FULL DO NOT CHOOSE Saturday Evening: help with the talent show
Saturday night around the fire: Lead camp songs
Sunday 6:30-8:30am: help with breakfast - first to get coffee :)
Sunday 1-2pm: help unload the truck at Kehilla
This attendee is not able to volunteer with a task (due to age, ability)
Friday at 5:45pm: pick up Pizza from LaneSplitters in Oakland and bring to Bort Meadow for dinner
Adult 4
First Name
Last Name
Ticket Type
Please select...
Young Adult/Low Income ($40)
Kehilla Member ($50)
Help Someone Else Attend ($70)
General Public ($65)
You can opt out of dinner on Saturday, which will take $12 off your ticket total:
Opt Out of Dinner
This attendee will be at dinner
Service and fun bring us together; everyone pitching in makes it affordable. Each person is asked to help with at least one meal or task. Please choose your task here:
Please select...
Wednesday between 5-8pm: help prepare food for the retreat in Kehilla's kitchen for 1-2 hours
Thursday 5-7pm: help prepare food for the retreat in Kehilla's kitchen
Friday between 5-8pm (only works if you won't be at the retreat on Friday): help prepare food for the retreat in Kehilla's kitchen for 1-2 hours
Friday 2-4pm: help load the truck at Kehilla
FULL DO NOT CHOOSE Friday at 5:45pm: pick up Pizza from LaneSplitters in Oakland and bring to Bort Meadow for dinner
FULL DO NOT CHOOSE Friday 4-5pm: help with general setup at the meadow
Saturday 6:30-8:30am: help with breakfast - first to get coffee :)
FULL DO NOT CHOOSE Saturday 9-10am: help unload the truck at Bort Meadow
Saturday 1 hour shift between 10am-2pm: Greet at the welcome tent
FULL DO NOT CHOOSE Saturday at 9:30am: help service leaders set-up tables, chairs, ritual items, etc
FULL DO NOT CHOOSE Saturday at 11:30: help w lunch setup
I'd like to lead a playshop! Contact me and let's talk.
FULL DO NOT CHOOSE Saturday (1:30ish): help w lunch cleanup
FULL DO NOT CHOOSE Saturday, 4pm: help w dinner setup
FULL DO NOT CHOOSE Saturday (6:30ish): help w dinner cleanup
Saturday night 1 hour between 6pm-9pm(ish): help build / tend the fire
Saturday 6:30pm: help load the truck at Bort Meadow
FULL DO NOT CHOOSE Saturday Evening: help with the talent show
Saturday night around the fire: Lead camp songs
Sunday 6:30-8:30am: help with breakfast - first to get coffee :)
Sunday 1-2pm: help unload the truck at Kehilla
This attendee is not able to volunteer with a task (due to age, ability)
Young Attendees
How many children are in your party (under the age of 12)?
Please select...
0
1
2
3
4
Young Attendee 1
First Name
Last Name
Age
Ticket Type (does not include camping)
Please select...
Kehilla Young Person ($20)
General Public Young Person ($25)
This young person will be participating in the following activities::
Youth programming during Saturday morning service (10:15-12:30pm)
Childcare during Saturday morning service (10:15-12:30pm)
Youth programming on Saturday afternoon (1:30-4:30pm)
Childcare on Saturday afternoon (1:30-4:30pm)
Any information about this young person that you would like us to know?
Young Attendee 2
First Name
Last Name
Age
Ticket Type
Please select...
Kehilla Young Person ($20)
General Public Young Person ($25)
This young person will be participating in the following activities::
Youth programming during Saturday morning service (10:15-12:30pm)
Childcare during Saturday morning service (10:15-12:30pm)
Youth programming on Saturday afternoon (1:30-4:30pm)
Childcare on Saturday afternoon (1:30-4:30pm)
Any information about this young person that you would like us to know?
Young Attendee 3
First Name
Last Name
Age
Ticket Type
Please select...
Kehilla Young Person ($20)
General Public Young Person ($25)
This young person will be participating in the following activities::
Youth programming during Saturday morning service (10:15-12:30pm)
Childcare during Saturday morning service (10:15-12:30pm)
Youth programming on Saturday afternoon (1:30-4:30pm)
Childcare on Saturday afternoon (1:30-4:30pm)
Any information about this young person that you would like us to know?
Young Attendee 4
First Name
Last Name
Age
Ticket Type
Please select...
Kehilla Young Person ($20)
General Public Young Person ($25)
This young person will be participating in the following activities::
Youth programming during Saturday morning service (10:15-12:30pm)
Childcare during Saturday morning service (10:15-12:30pm)
Youth programming on Saturday afternoon (1:30-4:30pm)
Childcare on Saturday afternoon (1:30-4:30pm)
Any information about this young person that you would like us to know?
Participation
Please indicate how many of you will be participating in each of the following:
Shabbat Services
Saturday Lunch
Saturday Dinner
Camping
We'll be camping on
Friday
night (Adults $9 per night, Children $5 - includes Saturday breakfast)
# of adults camping Friday
# of children camping Friday
We'll be camping on
Saturday
night
(Adults $9 per night, Children $5 -
includes Sunday breakfast
)
# of adults camping Saturday
# of children camping Saturday
Total Cost for Camping
Food
DIETARY INFO:
People in my party are
Vegetarian
Vegan
Gluten Free
Dairy Free
Have an allergy to:
How many in your party are Vegetarian (NOT vegan)?
How many in your party are Vegan?
How many in your party are Gluten Free?
How many in your party are Dairy Free?
Please list the allergy and tell us how many people in your party are allergic:
On Friday night, we have a potluck dinner at the Meadow! If your party is planning to attend, please choose one of the following options:
We will bring a dish!
We would like to pay now to participate in the cost of pizza and drinks ($8 a person)
How many people will be eating?
Total Cost for Friday Night Dinner
Carpool
Carpooling is community-building and cuts down on our environmental impact!
Here is a google sheet where you can sign up to offer or request rides
Payment Info
Total Cost Adults
Total Cost Young People
Total Cost Camping
Total Cost for Friday Night Dinner
Total Due:
$
I would like to pay by:
Credit Card
Check
I am a Kehilla BBM or School Teacher
Your Information
Phone
Email
Street Address
City
State
Please select...
Alabama
Alaska
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District Of Columbia
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Pennsylvania
Rhode Island
South Carolina
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Texas
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West Virginia
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Puerto Rico
Virgin Island
Northern Mariana Islands
Guam
American Samoa
Palau
Zip
Credit Card Information
Card Number
MM
YY
Code
Please hit submit one once.
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Contact Information