Welcome to the Lech Lecha Retreat:
Shavuot in Mexico Application
We are honored that you feel called to journey with us for Shavuot in Panama.This retreat is a space for depth, connection, and personal transformation.Your reflections below will help us get to know you, hold you in our prayers and planning, and create a container that supports your highest good.Please answer from the heart — there are no right or wrong answers. All responses will be held in strict confidence and shared only with the core facilitator team, solely to help us best support you. We’re so looking forward to walking this sacred path together.
Name
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Firs Name
Last Name
Age
*
Email
*
example@example.com
Address
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City
כתובת רחוב שדה 2
City
Country of Residence
ת"ד/מיקוד
Phone Number
*
Please enter a valid phone number
Tell us a little about yourself. (You might include things like your background, passions, Jewish journey, life path, or anything you’d like us to know.)
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Martial status:
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Single
Married
Divorced
Something else
What drew you to the Lech Lecha Retreat for Shavuot in Panama?
What would you love to receive or experience during the retreat?
Is there anything you would like us to know about your health (physical, mental, emotional) that would be helpful for us to support your experience?
Do you have any allergies, dietary needs, or medical conditions we should be aware of?
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Do you have a flight?
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Room type
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Choose
Single room - $1650 ( per person )
Double room - $1450 ( per person )
Triple room $1350 ( per person )
Payment
*
Choose
• Credit Card (3% processing fee)
• PayPal (3% processing fee)
• Zelle (no fees)
• Venmo (no fees)
Is there anything else you feel moved to share with us?
Submit
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