Healthcare Shabbat Name* First Name Last Name Phone Number* E-mail* Address* Street Address Street Address Line 2 City State / Province Postal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOther Country Number of Attendees* Please write the name of attendees:* Select Your Affiliation* MedicalDentalNursingSocial Work Medical StudentFacultyCommunityOther Dental StudentFacultyCommunityOther Nursing StudentFacultyCommunityOther Social Work StudentFacultyCommunityOther School Year Graduating Yes, I'd like to help with cooking for Thursday Night (Oct 15) and/or Friday Night (Oct 16)Yes, I'd like to help setting up for Thursday Night (Oct 15) and/or Friday Night (Oct 16)Yes, I'd like help with overnight accommodationsYes, I'm interested in joining Shabbat morning prayers followed by kiddush lunch Submit Affiliation UMB StudentCommunity Member Sunday Lunch (April 5) Salmon, Fresh Salad, Fruit Smoothie Sunday Dinner (April 5) Zuchini Soup, BBQ Meats & Veggies, Fries Monday Lunch (April 6) Shakshuka, Israeli Salad, Yogurt Bowl Monday Dinner (April 6) Roasted Veggies, Pulled Chicken, Salad Tuesday Lunch (April 7) Loaded Sweet Potato, Guac, Feta Salad Sunday Lunch (April 5) $20/meal Salmon, Fresh Salad, Fruit Smoothie Sunday Dinner (April 5) $20/meal Zuchini Soup, BBQ Meats & Veggies, Fries Monday Lunch (April 6) $20/meal Shakshuka, Israeli Salad, Yogurt Bowl Monday Dinner (April 6) $20/meal Roasted Veggies, Pulled Chicken, Salad Tuesday Lunch (April 7) $20/meal Loaded Sweet Potato, Guac, Feta Salad Dine inTake OutPick up - UptownPick up - Downtown Lesson 1: Sublimated Slumber (Wednesday, November 5) Lesson 2: Reframing Rage (Wednesday, December 10) Lesson 3: Art of Eat (Wednesday, January 14) Lesson 4: Elated Living (Wednesday, February 18) Lesson 5: Lip Syncing (Wednesday, March 18) Lesson 6: Living G-d (Wednesday, April 22) Lesson 7: Divine Image Projection (Wednesday, May 13) Be a partner - Suggested Giving Levels Textbook Only ($25)Cover Cost includes Participant Textbook ($100)Partial Sponsorship ($180)Full Sponsorship ($360) Should be Empty: This page uses TLS encryption to keep your data secure.
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