Parents’ Weekend Registration Please fill out the form below to confirm your attendance at Maryland Hillel’s Parents’ Weekend, as well as to sign up for meals throughout the weekend. If you have any questions please contact Maddie. Maryland Hillel Parents Weekend 2019 Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Home phoneCell phone*Do you have a spouse or partner attending?YesNoName First Last Email Do you have other relatives attendingNoYesTotal Number of People Attending (Include Yourself)12345678Student's name* First Last Student's email* Graduation Year of your student20192020202120222023My student is a member of one of the performing groupsYesNoI have another Maryland studentNoYesStudent's name First Last Student's Email Graduation Year of your student20192020202120222023My student is a member of one of the performing groupsYesNoShabbat Meal registrationPlease see below and register for all meals offered during Parents Weekend. Friday night Shabbat services and dinner (for Parents' Weekend participants only) will take place at Riggs Alumni Center. All other meals and services will take place at the Rosenbloom Hillel Center. Please include your UMD students for all meals they will attend, as well as any of their friends you plan on having join you.Friday, November 8: Shabbat dinner at Riggs Alumni Center | Number of adults @ $25.0001 adult dinner2 adult dinners3 adult dinners4 adult dinners5 adult dinners6 adult dinners7 adult dinners8 adult dinnersFriday, November 8: Shabbat dinner at Riggs Alumni Center | Number of children under 10 @ $15.0001 children's dinner2 children's dinners3 children's dinners4 children's dinners5 children's dinners6 children's dinners7 children's dinners8 children's dinnersFriday, November 8: Shabbat dinner at Riggs Alumni Center | Number of UMD Students0123Friday night dinner is free for UMD students, thanks to our amazing sponsors. Names of UMD Students Attending Friday Night DinnerSaturday, November 9: Shabbat Lunch | Number of Adults (Including UMD Students) @ $15.0001 adult lunch2 adult lunches3 adult lunches4 adult lunches5 adult lunches6 adult lunches7 adult lunches8 adult lunchesSaturday, November 9: Shabbat lunch | Number of Children Under 10 @ $1201 children's lunch2 children's lunches3 children's lunches4 children's lunches5 children's lunches6 children's lunches7 children's lunches8 children's lunchesSaturday, November 9: Seudat Shlisheet | Number of People (Adults & Children) @ $10.0001 third meal2 third meals3 third meals4 third meals5 third meals6 third meals7 third meals8 third mealsSaturday, November 9: Seudat Shlisheet | Number of UMD Students0123Saturday Nigh Sushi OrderPlease note: Sushi and pizza will be served around 9:30pm at RHC following the Arts Showcase.Veggie Rolls Price: $7.00 Quantity: Fish Roll Price: $9.00 Quantity: Saturday Night Pizza OrderPizza from Ben Yehuda Pizza in Silver Spring, MDSlices of Pizza01 slice of pizza2 slices of pizza3 slices of pizza4 slices of pizza5 slices of pizza6 slices of pizzaWhole Pizza Pie01 whole pizza2 whole pizzas3 whole pizzas8 slices per pieSunday BrunchSunday, November 10: Brunch | Number of People (Adults, Children & UMD Students) @ $15.0001 brunch2 brunches3 brunches4 brunches5 brunches6 brunches7 brunches8 brunchesFood Allergies and Special RequestsIf anyone in your party has food allergies, request or special accommodations we should be aware of. please list them below.Parents' Weekend SponsorshipI am interested in being a Parents' Weekend SponsorYesNoIf you are interested in being a Parents' Weekend Sponsor you can find more information here: Parents' Weekend SponsorshipSupport Jewish Life On CampusI would like to make an additional tax-deductible gift.$360$180$54Other:Not At This TimeOther Donation Amount Payment InfoYour meal subtotal is:Your additional tax-deductible gift to Maryland Hillel is:I would like to voluntarily contribute 3% of my total to offset expenses Maryland Hillel incurs by the credit card company?YesNoAdditional 3% Price: $0.00 Total $0.00 Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name Billing address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Hotel InformationMaryland Hillel is proud to partner with the Marriott Inn and Conference Center and The Hotel to provide families with a block of rooms at a special rate. Both hotels are walking distance to Hillel and within the Eruv.Marriott The HotelI already have a hotel reservationYesNoWhich hotel do you plan on staying at?We have a welcome bag we would like to have ready for you at check in!Data SourceLDL IDdonation +3%NameThis field is for validation purposes and should be left unchanged.
