One registration form and check in an envelope (unless a couple)
Registration Form for the Trip to St. Michaels, MD
Tuesday, June 6, 2017
Please PRINT, answers completely
Name:______Cell #: ______Tel.#:______
Last First
Address:______
Street APT. # City Zip Code
E-Mail:______
Contact 1 in case of emergency ______
Name Cell # Tel. #
Contact 2 in case of emergency ______
Name cell # Tel.#
Please inform us of any medical conditions, medications, and other physical limitations or allergies that mi might affect your well-being on this trip:
______
_____ I am a member of Beth El Congregation _____ I am a member of Sisterhood ____ I am not a member
Enclosed check # ______Amt. ______made payable to Beth El Sisterhood
Please read and adhere to the following expectations:
(1) Make careful note of all departure times and be prompt, so as not to keep
others waiting. Seats on the bus are on a first-come, first-served basis.
You may reserve only one other seat on the bus for a spouse/friend.
(2) Cancellation/refund policy If you are unable to go on the trip, please
notify Robin Kleiman 410-653-0113 or Marlene Siegel 410-484-1844 in a timely fashion and she will try to replace you from the wait list. If no one is available from the wait list, you may then substitute a relative or friend to take your place. Reimbursement will be paid to you directly by your replacement, instead of through Sisterhood. If a replacement is not found, you will not receive a refund.
(3) We are not responsible for any items left at our stops or left on the motor-coach, at the
end of our trip. During the trip, items may be left on the bus in full safety.
(4) This trip has a lot of walking so please wear comfortable and sturdy shoes.
I have read carefully and understand all of the above expectations, and
I agree to these terms.
COST: $ 95 PER PERSON
Signature: ______Date:______
Mail to: Mrs. Robin Kleiman 20 Diamond Crest Court, Baltimore, MD 21209
Date received:______Check #:______Amount:______No. of people:____