Just another WordPress site

Form in English
בױגן אויף ייִדיש

Form in English

Test Mode

1. Participation

Please enter text for this section in the form settings.

Participation Form

2. Registrants

How many people are you registering?

Personal Information
- First Name
- Last Name
- Yiddish Name
- Age during the Yidish-vokh
- Telephone
- Email
- Address
- City
- State
- Zip
- Country
Membership
All attendees must have Yugntruf membership. If you are not yet a member, please become one now!
- Individual ($50)
- Student ($25)
- Family ($100)
- I have has already paid for Yugntruf membership since the last Yidish-vokh.I am is included in the family membership ordered elsewhere on this form or havehas already paid for Yugntruf membership since the last Yidish-vokh.
Bus
Please enter text for this section in the form settings.
Room Registration
It’s not necessary to order a room for children age 3 and under.
Before choosing a room, please see this page for pictures and a comparison of the rooms.
Room Type

Whole Week
1. Saturday, August 15th
2. Sunday, August 16th
3. Monday, August 17th
4. Tuesday, August 18th
5. Wednesday, August 19th
6. Thursday, August 20th
I will be attending the Yidish-Vokh for the first time. (15% discount)
Roommate Request We recommend you find your own roommate. If you cannot find your own roommate, we will try to match you up with an appropriate roommate. Please provide as many details as possible about the type of roommate you are looking for. We do not take any responsibility for roommate pairings that do not work out.

Dietary Restrictions Please list any dietary restrictions. (Note: All food is kosher.)

3. Discount

If you have been given a discount code you may enter it here.

Discount Code

4. Donation

No, thank you.
$100 — Enough for one evening of iberbaysn
$100 — Enough for two evenings of iberbaysn
Other amount: $

5. Anything Else?

Is there anything else we should know?

6. Disclaimers

I represent that I have full authority to enter into this agreement for myself, my family and any in my party (We). We agree to these conditions and guidelines.
Yugntruf reserves the right to request that participants leave the Yidish-vokh early without a refund due to complaints of assault, sexual harassment, extreme rudeness, or other behaviors which may negatively affect the Yidish-vokh experience.
I understand that Yugntruf organizers take photos at the Yidish-vokh, and it is possible that I or my co-registrants may appear in a photo that may subsequently be used on the Yugntruf website or in promotional materials. (Please contact us at yvokh@yugntruf.org if you do not agree to this.)

Grand Total: $

Just another WordPress site

Blog
Acerca de
FAQs
Autores

Eventos
Tienda
Patrones
Temas

Twenty Twenty-Five

Diseñado con WordPress