Shabbaton with Rabbi Larry Rothwachs

Please fill out information below for the Shabbaton. Please note that all children under 3 are free. Please do fill out quantities for attending children, so that appropriate food quantities can be prepared.

Name*

First Last

Email*

Phone

Address

Street Address Address Line 2 City State ZIP Code

Do you want to make reservation for Shabbos Dinner (Friday Night)

Yes, I would like to make a reservation for Shabbos Dinner

Shabbos Dinner Reservation

Number of Adults for Shabbos Dinner

$25/adult

Price: $25.00

Number of Children under 12 for Shabbos Dinner

$10 / per child under 12

Price: $10.00

Number of Children Under 3 (free)

Price: $0.00

Family Max Discount (Friday night dinner)

Yes, I would like to pay the discounted price of $70 for my entire family

Family Max

Price:

Total number of family members attending*

Do you want to make reservation for Melaveh Malkah

Yes, I would like to make a reservation for Melaveh Malkah

Melaveh Malkah Reservation

Number of Adults for Melaveh Malkah

Price: $20.00

Payment Information

Would you like to cover the merchant service fee

Yes, I would like to cover the merchant service fee

Service Fee

Price: $0.00

Total

$0.00

Credit Card

Card Details

Cardholder Name

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