Minnesota Summer Retreat Sign Up

Sign up for Bais Chana Summer Retreat

Page 1

Contact Information













mm/dd/yyyy


Permanent Address






Page 2

If you’d like to share a room with a friend or friends, please provide her name and number below.




Daily Rate Information




If yes, please contact our office at 718.604.0088 or email info@baischana.org.


Children Information

John Doe - 6 - Male


John Doe - 6 - Male


John Doe - 6 - Male

Page 3

Tell us about yourself






Page 4

Important Information




Emergency Contact Information





Family/Friend Who Introduced you to Bais Chana










Media Permission

Click "Next" and proceed to calculate your retreat fees.

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