Sign up is as easy as...

1.

Fill in the online application.

2.

Go to the retreats calculation page to figure out cost.

3.

Pay your sign up fee and partial or full retreat fees.

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.