Rappeling Shabbaton

* Please attach a recent picture:
* Full Name (as on license):
Nickname
* Email:
* Phone Number:
* Address Line 1
* City, State, Zip
* Birth Date:
Job Title and Profession:
* Both parents born Jewish?
* Ever been on an Aish trip?
If yes, which trip and when?
* Who referred you to this trip?
Please list people you'd like to share a room with:
* The cost of the weekend is $140. In addition, I would like:
* Please be aware that the standard price may require sharing a double bed. If available, I would like to order a single bed for an additional $50.
* Constitution for Aish Kodesh Members:

1. Must be open to growing Jewishly. Can be struggling and stuck in the same place for a long time, but must want to always be growing!

2. No negative speech, gossip, slander, against anyone in the group. This is a safe haven from the surrounding LA culture.

3. Mutual respect and consideration. View every member of the group as an elevated person, as a soul.

4. Non-coercive & non-judgmental

5. Love of all Jews, no elitism.

I agree to abide by the rules of the Aish Kodesh Constitution
* Credit Card number:
* Expiration Date
* Security Code
I would like donate the following amount to help other students attend;