Come See Why We Love West Hartford Shabbaton

Past Sessions
Sunday, June 7, 2015 • 20 Sivan 5775 - All Day - West Hartford, CT
Saturday, June 6, 2015 • 19 Sivan 5775 - All Day - West Hartford, CT
Friday, June 5, 2015 • 18 Sivan 5775 - All Day - West Hartford, CT

Return to the Jewish West Hartford Main Page

Scroll down to Register

Register

Family Information

* Family Name

* Adult 1 Name

* Adult 1 Gender

* Adult 1 Age

Adult 2 Name

Adult 2 Gender

Adult 2 Age

Child 1 Name

Child 1 Gender

Child 1 Age

Child 2 Name

Child 2 Gender

Child 2 Age

Child 3 Name

Child 3 Gender

Child 3 Age

Child 4 Name

Child 4 Gender

Child 4 Age

Child 5 Name

Child 5 Gender

Child 5 Age

Additional Children's Names, Genders, and Ages

Need more space for your children? You're in luck! West Hartford homes have lots of space for your family. Unfortunately, this form does not. Please list any other members of your family who will be joining you for the Shabbaton in this field; Name, Gender, Age separated by a comma with one entry per line.

Contact Information

* Address (Line 1)

Address (Line 2)

* City

* State

* Zip

* Primary Phone Number

* Type

Secondary Phone Number

Type

* Primary E-mail Address

Secondary E-mail Address

Information to Help us Meet Your Needs

Do you require any special accomodations (dietary, housing, etc.)?

Adult 1 Occupation

Is Adult 1 currently employed?

Does Adult 1 have a job lined up in West hartford?

Would Adult 1 like to be put in contact with another professional currently in their field in West Hartford?

Adult 2 Occupation

Is Adult 2 currently employed?

Does Adult 2 have a job lined up in West Hartford

Would Adult 2 like to be put in contact with another professional currently in their field in West Hartford?

What are some of your family's interests and hobbies?

* How did you hear about us?

Advertisement in the Jewish WeekOU Community FairRadio (JM in the AM live broadcast at the OU Community Fair)Web SearchWord of MouthWho hasn't heard of West Hartford's amazing Jewish community?

Share Print Save To My Calendar

Fri, April 19 2024 11 Nisan 5784