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The greatest event BEGINS MAY 23rd!! Spring Regional 2008 will take place from Monday May 23rd until Monday May 26th.Registration is at 10:00am at the office(9831 Pico) Friday May 23rd. Buses will be returning after the event Monday May 26th at 3:00pm at the office. Please fill out the form below if you would like to join us.

Deadlines and Fees
Deadline is: 5:00pm, Monday, May 5th.
Event Fee: $325 ($299 for members)
$275 if registration received by May 5th (must be a member for early price)
1st timers fee: $250 if received by May 5th (must be a member for 1st timer price)
After deadline, Monday at 5:00pm May 5th, all applicants will be waitlisted

Important Info
If you need to cancel your registration you will be refunded 100% if you cancel by May 5th. You will be refunded 50% of fee if you cancel by May 10th. There will be no refunds if you cancel after May 10th

REGISTRATION INFORMATION
First Name: Last Name:
Street Address: City: State: Zip:
Phone: Email:
Chapter: Grade:
Age: School:

Have you ever attended a chapter Shabbaton? YesNo

Any Allergies or Health Issues?:

Emergency Contact Info:

Name: Phone: Relationship:

Parental Information:

Fathers Name: Occupation: Work Phone:

Mothers Name: Occupation: Work Phone:

Are you flying into Los Angeles? NoYes

FLIGHT INFORMATION
*(airport pickup will only occur on Thursday)
Airport: Airline:
Arrival Information:
Flight Number: Date:(select) Time:
Departure Information:
Flight Number: Date:(select) Time:

REGIONAL PREFERENCES
Please write who you would like to room with.
Rooming requests will not be considered if application is received after May 5th.



Please check the tasks you would like to participate in at regional or items which apply to you at regional.
Leading Services
Leading Bentsching
Giving Divrei Torah
Prayer Workshop
Vegetarian Meal Plan
Valet Attendant

BILLING INFORMATION

By CheckBy Credit Card

In order for your application to be processed, please send a check to:

NCSY 9831 West Pico Blvd
Los Angeles, CA
90035

(Visa/AMEX/Mastercard accepted)

Card Number: Card Type:

Expiration Date: Month Year (Range: 1997~2020)

$325.00 Standard Event Fee ($299 if you are a member: Enter membership # below)
$275.00 Early Registration Fee (by May 5th)
$250.00 First Timers Fee (by May 5th)
Please specify reason for special pricing and enter fee below:

Enter Membership Number Here: (Membership is $36 per year. If you are not a member you can pay an additional $36 and get member prices.)
Yes, I am a member! Membership #:

MITZVAH OPPORTUNITY!
Yes, I would like to give a donation to the Regional Scholarship Fund. Amount: $

	Regional Event: 11/17/06: Yeshiva Shabbaton! Thinking of going to Israel? Come meet all the Rabbis from the Israel Yeshivot & Seminaries. Also, you will have a great time!

	The City: 11/3/06: The RV Shabbton! Hop on board one of our luxury RV's and enjoy the coolest Shabbaton of the year!

	The Valley: 11/28/06:CityWalk video Scavenger hunt. Just point, click and shoot! Have a great time running around and filming it also!

	La Jolla: 11/17/06: Yeshiva Shabbaton! Thinking of going to Israel? Come meet all the Rabbis from the Israel Yeshivot & Seminaries. Also, you will have a great time!

	San Diego: 11/10/06: San Diego Shabbaton! Warm weather, nice folks and, oh yea, AN AWESOME WEEKEND!

	Phoenix: 11/17/06: Yeshiva Shabbaton! Thinking of going to Israel? Come meet all the Rabbis from the Israel Yeshivot & Seminaries. Also, you will have a great time!

	Sacramento: 11/10/06: NorCal Shabbaton! Get down withe the get down! NorCal Rocks! Come enjoy the Shabbaton they are going to be talking about for years!

	East Bay: 11/10/06: NorCal Shabbaton! Get down withe the get down! NorCal Rocks! Come enjoy the Shabbaton they are going to be talking about for years!

	South Bay: 11/10/06: NorCal Shabbaton! Get down withe the get down! NorCal Rocks! Come enjoy the Shabbaton they are going to be talking about for years!