Registration – Derekh

Derekh - A Pathway into Adult Jewish Learning

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- Online Course Descriptions
- Online Course Registration
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Home
Registration
- Online Course Descriptions
- Online Course Registration
Faculty
FAQ’s
Photos
Resources
Testimonials
About Us

Registration

Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Home Phone Number*
Cell Phone Number
Emergency Contact*
First Last
Contact Phone Number*
Are you a member of a congregation?*
- Yes
- No
Congregation Name, City, State
Fees*
In order to hold your place at Derekh, a non-refundable $250 deposit must be paid within two weeks of registration, on-line or by check. The balance is due before June 15, 2019.
- Pay in Full Registration (Until May 1, 2019 Early Bird) $1250
- Pay Deposit ($250)
- Commuter Rate (for Baltimore Residents) ($700)
Please check the box if you would like to add the single room supplement.
- Single Room Supplement ($300)
Do you need a roommate?
- I would like to find a roommate, please connect me with another participant.
Gender, please specify*
I would like to room with:
Please list any food allergies
Please describe any accessibility issues (cane, walker, wheelchair, etc)
Meals*
All meals are Kosher style. Vegetarian entrees are available at all meals. Please indicate if you require a vegetarian or vegan meal.
- Yes, I require a vegetarian meal.
- Yes, I require a vegan meal.
- No special requests
Limud and Chug Selection
The course descriptions can be found here and the faculty biographies can be found here. Please provide your first and second choices. Courses are filled in registration order and we will make every effort to honor your requests If your first preference has been filled and you have not indicated a second choice, we will assign you to another class.
Course Selection for Limmud
First Choice:*
Second Choice:*
Course Selection for Chuggim
First Choice:*
Second Choice:*
Volunteer Opportunities (Check all that apply)
- Read or Chant Torah
- Read or Chant Haftarah
Would you like to make a donation to Derekh: A Pathway into Adult Jewish Learning?
- Not at this Time
- $18 Donation
- $36 Donation
- $72 Donation
- $100 Donation
Images and videos may be taken during the Derekh retreat. May we use your image in future marketing and on social media?
- Yes
- No
Payment*
Please select your payment choice. If paying by check, Please follow the instructions in the confirmation email you will receive after after clicking “submit.” If paying with PayPal, you will be taken directly to PayPal after clicking “submit.”
- I wish to pay by check.
- I wish to pay online via PayPal
Total
$0.00

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