CONTACT INFORMATION

Name

Phone Number

Address

REGISTRATION OPTIONS

How many Adults 18 or over in Family $50 Each

Any Youth in group aged 6-17 $25 Each

Any Children 5 or under? $0 Each

If the registrant total is over $200 check this box to add family discount ($200.00)

Please still enter info for all family members attending

Registration Subtotal

$0.00

HOUSING OPTIONS

Accommodations

Tent with electric ($15) ($0.00)
Comes with water hookup and electric (Bring your own extension cord)
30 amp RV Site ($25 per night) ($0.00)
50 amp RV Site ($35 per night) ($0.00)
Dorm ($20 Per Person) ($0.00)
Our dorm facilities are located in the main building with separated men's and women's floors. If you select this option you will need to contact [email protected] to get set up your reservation, get your housing cost total, and arrange for payment.
I Have Pre Reserved A House/Apartment (Limited Quantity) ($0.00)
If you are interested contact [email protected] before completing this registration (Per Night** $50-150) There are no guarantees of availability if you do not contact us.
Local/Driving In ($0.00)
Select this is you are staying off-campus (hotel/AirBnB) or driving in from home.

Registration & Housing Total

$0.00

If you choose the housing option your housing amount will not be reflected in this total. Those choosing this option will need to pay for their housing separately via the donation page, by mail, or at check-in. If you mail in your check or donate through the website, be sure to notate that the amount is for 2021 Hanukkah housing.

Arrival Date

Departure Date

INDIVIDUAL REGISTRANTS

ADDITIONAL INFORMATION

Event Guidelines*

Do you agree to follow the guidelines as stated on https://www.loveandpurity.com/event-guidelines

Any Dietary Restrictions or anything you would like us to know

BILLING INFORMATION

Name

Payment Method

Credit Card
Cash/Check

Credit Card

Visa
Mastercard
American Express
Discover

Address