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JTF Participant Information 2017

*Required fields

To which Jewish Teen Foundation board have you been accepted? *

Marin/San Francisco

North Peninsula

South Peninsula

First Name *

Last Name *

Preferred/Nickname (optional)

Only enter a name here if it is different from your legal name listed above.

Email *

This will be our primary way of contacting you with information about twice a month. Please list the email you use the most or are most likely too read.

Parent First Name *

Parent Last Name *

Parent Email *

To indicate a single parent family enter "N/A" in the following 3 fields.

2nd Parent or Guardian First Name *

2nd Parent or Guardian Last Name *

2nd Parent/Guardian Email *

At our Retreat on Oct 20-22, the hotel will provide vegetarian food and all meals will be served kosher-style. Do you require kosher food with hechsher during the weekend? *

Yes, I eat only kosher food with hechsher for all meals

Kosher-style vegetarian meals and snacks meet my needs

No, I don't keep kosher

If you plan to eat vegetarian meals, please select "Vegetarian" for the next question. If kosher-style meals meet your practice, please select "No, i don't keep kosher."

List any dietary restrictions (besides Kashrut). Note that we may not be able to accommodate all dietary needs, but we will let you know in advance if you need to bring supplementary items (Check all that apply) *

Vegan

Vegetarian

Pescatarian

Gluten Free

Dairy Free/Lactose Intolerant

Other (please specify below)

Other dietary restrictions:

JTF brings together the pluralistic diversity of our Jewish community to do good work. At the Retreat on Oct 20-22, we are planning a creative Shabbat experience. Let us know if you have specific needs for your Shabbat practice so that we may help you.

In observance of Shabbat, do you refrain from any activities?:

For example: listening to live or recorded music, using electronic devices (including elevators), watching slideshows or videos played by others, writing or drawing, having someone else write down what you say as notes during a workshop, or any other activities.

Are you interested in helping during Shabbat services? Check all that apply:

Hebrew Reading

English Reading

Singing

Medical Information

Do you have any allergies or other medical conditions that we should know about? *

List any medications you will be taking during the Retreat. Also indicate any medications you have been taking but will be discontinuing within 3 weeks of the Retreat weekend *

At the Retreat (Oct 20-22) we have a fun night of physical games and challenges planned away from the hotel. Let us know if you have any physical limitations that may require accommodation or might prevent you from taking part in such activities *