Let’s Start your journey to a beautiful Rosh Hashanah Name * First Name Last Name Spouse Name First Name Last Name Phone * Country (###) ### #### Email * ^ Check the box above to receive a receipt of this form and informational updates for the program. Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Room Selection Number of Guest Rooms-Island View: 0 1 2 3 4 5 Number of Guest Rooms-Ocean View 0 1 2 3 4 5 Number of Townhouse Villas (2 Bedroom) 0 1 2 3 4 5 Number of Townhouse Villas (3 Bedroom) 0 1 2 3 4 5 Any Additional Information? Table/Seating Information Number of Adults 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Number of Children (3+) 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Checkbox Do you need a high chair? Yes No Family Members Date of Birth: * Would you like to be seated near a family group? Yes No Thanks Kindly note the following Chabad Outreach is not responsible for any damages caused by any member of our guest. In case of damages, guests will be liable and need to compensate the hotel. Reservation will be confirmed after full payment is received. No refund will be made for cancellation. All information written on this registration form is true and correct and we accept and agree with above statements. Please Print Your Name: * By printing your name, you agree to the above conditions Thank you!
