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Urban Adamah | Spring Break Intake Form
Fellowship Alumni Retreat
May 3-5, 2024
Your Information
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First Name *
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Last Name *
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Email *
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Phone *
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Pronouns *
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Please list your fellowship season and year (e.g. Fall 2021) *
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Select...
Yes, all of it
Yes, a portion of it
No
Will you be attending the alumni retreat? *
Housing
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Select...
Yes, for both nights
Yes, for Friday night only
Yes, for Saturday night only
No, I will be staying offsite
Will you need housing on the farm? (You will be staying in Camp St or the Retreat Lodge.) *
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Select...
Flying
Driving
I already live on the farm
Hitching a ride on the goats
Other
How are you getting to Urban Adamah? *
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Other
Planning
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Select...
Yes
No
Other
Would you like to be involved with planning the content for the weekend? *
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Other
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What is your ideal involvement in planning? Ex: I want to be a main organizer! I want to be responsible for tracking attendees! I want to help shape the weekend but not be the lead on it! *
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Select...
Yes
No
Other
Would you like to be involved in leading or co-leading a session during the retreat? *
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Other
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What is your ideal involvement for leading or co-leading? Ex: leading Kabbalat Shabbat, leading a learning session, leading a song circle, etc.
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Proceed to Payment
Please follow the instructions on the next page for payment
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