Registration Form

First name

Last name

Email

Age

Street Address

City

State

Country

Postal Code

Phone Number

Birthday

Could you share your social media handles, please specify? (e.i. Instagram, Facebook, LinkedIn)

Religious Affiliation

Jewish Educational Background Further Notes

How would you rate your Jewish knowledge?

Very limited

Basic

Moderate

Strong

Are you comfortable participating in Shabbat services, discussions or learning sessions?

Yes

No

Unsure

Are you a MJE Fellow?

Yes

No

Previously

If you have you already attended an MJE retreat before, which one?

Ski Retreat

Spring Retreat

Israel Volunteer Trip

None

Why do you want to attend this retreat?

I agree to abide by the retreat’s code of conduct and respect all participants

Yes

Is there anything else we should know about? Please include dietary notes if required

Accommodation Preferences

I understand that this application does not guarantee a spot—it is a selection process

Yes

By attending this trip, you are agreeing to have photos/videos taken during the retreat that may be used for our community/future promotions

Yes

I consent to my data being used for retreat logistics and communications

Yes

I certify that the information I have provided is accurate

Yes

1.Add your details