Singles Registration
a Weekend to Remember
Reservation per person includes:
Full accommodation, lavish buffet available Friday-Sunday afternoon, elegant Shabbos meals, breakfast, Melave Malka, Sunday lunch, Separate Program for Children, and Babysitting (if applicable).
* Your First Name: * Your Last Name:
* Phone Number:
* Email address:
Single Person (alone) in a Room:
Room type: 2 Full-size beds 
Single Person Sharing a Room: Male Female
(you will be paired up with one person the same gender as you are, 2 people per room, 2 Queen-size beds)
Student Reservation Male/s Female/s
(you will be paired up with three more people the same gender as you are, 3 people per room max,
a cot will be provided free of charge)
* Names and ages 
of all attendees 


* Sub-Total Amount $:  
Please consider a donation to support ARIEL's work    
Donation Amount $:  
* Total Amount $:  
* Name on the credit card:
* Credit card type:
* Credit card number:
* Exp. Date (MM/YYYY):
* Security Code:
(3-digits from back of card or for AmEx - 4 digits on front)
* Billing Address:
* City:
* State:
* Zip:
Cancellation Policy: THERE ARE NO FULL REFUNDS. All cancellations incur a 10% fee of reservation price; during the week of event - a 20% fee.