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Prospective Student Shabbaton Sign Up

Home > Prospective Student Shabbaton Sign Up

2025 Prospective Student Shabbaton Registration

Student Information

Prospective Student Name(Required)

First Last

Prospective Student Gender(Required)

For roommate matching

Pronouns

Prospective Student's High School(Required)

Highschool Grad Year(Required)

2023

2024

2025

Prospective Student's Phone(Required)

Prospective Student's Email (Non-High School)(Required)

Are you planning to attend a Gap Year program?(Required)

Yes

No

Unsure

Gap Year Program(Required)

Do you plan to commit to UMD?(Required)

Yes

No

Still Deciding

Would you be interested in participating in an early move in program with Maryland Hillel (FreshFest)(Required)

Yes

No

Unsure

We do not have confirmation from Residence Life to host this program but would like to gain interest as we are having these conversations with the university.

How would you best describe your religious affiliation?(Required)

Jewish - Reconstructionist

Jewish - Reform

Jewish - Conservative

Jewish - Orthodox

Jewish - Just Jewish

Not Jewish

Dietary Restrictions / Allergies:

Parent/Guardian Information

Parent/Guardian #1 Name(Required)

First Last

Parent 1 Phone(Required)

Parent 1 Email(Required)

Parent/Guardian #2 Name

First Last

Parent 2 Phone

Parent 2 Email

Home Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Shabbaton Preferences:

Have you coordinated with a current UMD student to host you for the Shabbaton?(Required)

Yes

No

Name Of Current UMD Host(Required)

First Last

Payment Information

Weekend Shabbaton Price(Required)

Price:

Price is $136.00 and a 3% transaction fee is included. This payment goes towards the weekend's kosher meal costs and activities.

Total

Credit Card(Required)

American Express

Discover

MasterCard

Visa

Supported Credit Cards: American Express, Discover, MasterCard, Visa

Card Number

Expiration Date Month Year

Security Code Cardholder Name

Billing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

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