Ramah Darom - LimmudFest 2023

We are excited to welcome you to LimmudFest at Ramah Darom for a day visit on Sunday, September 3, 2023. Check-in will begin at 9:00am and you can remain on campus through 11:00pm. Please complete all of the information below so we can prepare to welcome you to our campus. If you have any questions, feel free to be in touch with our Guest Relations Coordinator, Andrea Slomka at aslomka@ramahdarom.org.

ADMIN CODE

Who is the primary contact for this form?*

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email

example@example.com

Please select the number of individuals in your household/family unit attending the retreat:*

How many adults (18+) are you signing up for the day visit?

How many children ages 3-17 you signing up for the day visit?

How many children ages 2 and under you signing up for the day visit?

Guest 1: Name as you would like it to appear on name tag

First NameLast Name

Guest 1: Date of Birth

Date

Guest 1: What are your preferred pronouns?

Guest 1: Would you like your pronouns listed on your name tag?

YesNo

Guest 1: Dietary Restrictions/Needs

Guest 2: Name as you would like it to appear on name tag

First NameLast Name

Guest 2: Date of Birth

Date

Guest 2: What are your preferred pronouns?

Guest 2: Would you like your pronouns listed on your name tag?

YesNo

Guest 2: Dietary Restrictions/Needs

Guest 3: Name as you would like it to appear on name tag

First NameLast Name

Guest 3: Date of Birth

Date

Guest 3: What are your preferred pronouns?

Guest 3: Would you like your pronouns listed on your name tag?

YesNo

Guest 3: Dietary Restrictions/Needs

Guest 4: Name as you would like it to appear on name tag

First NameLast Name

Guest 4: Date of Birth

Date

Guest 4: What are your preferred pronouns?

Guest 4: Would you like your pronouns listed on your name tag?

YesNo

Guest 4: Dietary Restrictions/Needs

Guest 5: Name as you would like it to appear on name tag

First NameLast Name

Guest 5: Date of Birth

Date

Guest 5: What are your preferred pronouns?

Guest 5: Would you like your pronouns listed on your name tag?

YesNo

Guest 5: Dietary Restrictions/Needs

If you are registering any children for a day visit and they will be participating in kids programming, please share the child(ren)'s grade and any information that will help our staff and counselors make the child(ren)'s time as fun and successful as possible. This should include pertinent medical restrictions/needs, social/emotional concerns, allergies, etc. for each child. *Please note that due to limited space in our childcare program for ages 2 and under, we cannot guarantee there will be supervision for any day guests in this age range.

Day Visit Subtotal

Day Visit to LimmudFest at Ramah Darom

Form Calculation and Payment

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country