PAYQUIQ ONLINE :: The Faster Smarter Way to Pay

CBI's 2024 Camp Kalsman Shabbaton Registration

Saturday May 18th
Join us for our annual Shabbat event at camp with the Kesher community!

Look forward to an exciting day of camp activities like climbing the ropes course,
canoeing on the lake, art projects, singing, s'mores around the campfire, and more!

Registration deadline is May 1st!
Reach out to Leah Bordman at [email protected]
with any questions!

Family Contact Information

* Adult #1 First Name

* Adult #1 Last Name

* Adult #1 Phone Number

* Adult #1 Email Address

Adult #2 First Name

Adult #2 Last Name

Adult #2 Phone Number

Adult #2 Email Address

Child #1 Name

Child #1 Age

Child #2 Name

Child #2 Age

Child #3 Name

Child #3 Age

Child #4 Name

Child #4 Age

Emergency Information

Please include an Emergency Contact separate from anyone attending the event.

* Emergency Contact First Name

* Emergency Contact Last Name

* Emergency Contact Phone Number

* Emergency Contact Email Address

Does anyone attending have an allergy we should be aware of? If so, please list below:

Additional Information

* Family Dietary Restrictions [besides Kosher]

	Vegetarian
	Vegan
	Gluten Free
	Dairy Free
	None
	Other

Click on all options that apply to family members attending

If you chose "other" above, what is that dietary restriction?

Is there anything else you need us to know about your needs?

Payment

Included in this cost: Breakfast, Lunch, Dinner, and s'mores on Saturday, May 18th. Access to camp programming, such as canoeing on the lake, climbing the tower, and more.

If cost is prohibitive, pause your application here and contact Leah Bordman at [email protected].

* $78 per person

Please type the number of people attending the event who are older than 3 years old into the box.

Account Details

Enter your name and e-mail address for your confirmation:

*E-mail

*First Name

*Last Name

Payment Information

Account

Online Fee:

Credit Card

Name on Card

Card Type

Card Number

Expiration Date

Card Verification Number

Address Line 1

City

State/Province

Zip

Comments

Total:

CBI's 2024 Camp Kalsman Shabbaton Registration

Family Contact Information

Emergency Information

Additional Information

Payment

Account Details

Enter your name and e-mail address for your confirmation:

Payment Information

Credit Card

Checking Account

For added Security please check the box below.

CBI's 2024 Camp Kalsman Shabbaton Registration

Family Contact Information

Emergency Information

Additional Information

Payment

Account Details

Enter your name and e-mail address for your confirmation:

Payment Information

Credit Card

Checking Account

For added Security please check the box below.

Image Preview