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Registration form

Please be sure to answer ALL fields.

First name

Last name

Phone

Street Address

City

Region/State/Province

Postal / Zip code

School

Grade

Bnos Branch

Please write down three girls that you would like to be roomed with:

Group age you run:

Do you have any food allergies? If yes, please specify:

Do you have any medical issues that we must know about? If yes, please explain.

Emergency Contact #1

Name

Phone

Relationship

Emergency Contact #2

Name

Phone

Relationship

Please upload a clear copy of BOTH the front and back of your insurance card.

Upload Front

Upload Back

Bnos Agudath Israel of America National Leaders Convention 5784

For Bnos Leaders in High School ONLY

Please RSVP by Sunday, December 31,2023
Slots are limited and will be reserved on first come first served basis. Reservation is complete when all information is filled out and payment has been processed.
Convention begins Thursday, February 1, 2024 at 7:30 P.M.- Sunday, February 4, 2024, 10:00 A.M.
There are no refunds once you send in your information with payment.
The convention costs $235. This price does not include transportation.

Transportation Information:

Transportation will be arranged from Monsey once registration is completed. Please check this site for transportation details after January 15. (We will email you as well) The estimated cost for round trip transportation will be around $60, give or take, depending on the number of girls attending and the mode of transportation being used (bus/van etc.) Leaders who attended the Annual Melava Malka at YSV on November 11, 2023 will receive a subsidy for about half the transportation costs.

Bnos Policy:

No Smartphones allowed.
Any other technological device allowance will be at the discretion of convention heads.
Any non-labeled items left behind will be considered hefker.

Please sign below:

My signature attests to the fact that I intend to follow all convention rules, attend all sessions, and understand that I am attending the convention to become a better Bnos leader.

Adult consent is hereby given for the above minor to attend the Leaders Convention and to receive emergency medical care in the event of an injury or illness ch”v.

Leaders Signature

Parent/Gaurdian Signature

Thanks for registering. We are looking forward to an amazing and enjoyable Shabbos!

Avigayil Perlman
- Oct 31, 2023
- 0 min read

Bnos Branches 5784

Bnos 5784 branches flyer

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Download PDF • 131KB

Bnos of Monsey

Registration form

Please upload a clear copy of BOTH the front and back of your insurance card.

Bnos Branches 5784