Sign up is as easy as...



Choose the dates you're coming and circle them on your calendar! 

Share online app


Fill out the online Sign Up form.* (Hey, shouldn't you be sharing this with your girlfriends?)

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Book your travel and you're on your way to a life-changing experience!

Let us know if you're on a special diet, need special accommodations, can use some help making travel plans or want to bring along your little ones. We're here to help! Contact our office at 718-604-0088 or email info @ baischana. org.


Sign up for Bais Chana Summer Retreat

Page 1

Contact Information


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

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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