veryschool . everyteacher.

everychild .

TORAHUMESORAH

6QTH ANNUAL NATIONAL LEADERSHIP CONVENTION

WED, MAY 18- SUN, MAY 22, 2016 • 111c\'PP -,n)c: -=< 11

' - -,n)c: '• CROWNE PLAZA STAMFORD

2701 SUMMER STREET, STAMFORD, CT 06905

REGISTRATION INFORMATION HOTEL REGISTRANTS: Each night begins with Dinner and extends through Lunch of the following day. Meals may be purchased in advance or at the Torah Umesorah Hospitality Desk upon arrival. Tea room will be available through Friday afternoon at no extra cost.

HOTEL PRICES: Please Note : a// prices are Per-Person, based on double occupancy, Single Occupancy add 50 %*

There are no sleeping rooms on the 1st floor. All rooms are on the 2nd floor and up. The hotel has 5 floors total.

NON· SHABBOS SHABBOS

2 WEEKNIGHTS FRI- SUN 3 NIGHTS 4 NIGHTS ROOM DESCRIPTION NAME limited

WED- FRI availability THURS- SUN WED- SUN

Executive Suite N/A N/A N/A $1,250 $1,600 Large room with separate sitting area and

pull-out couch.

Deluxe King N/A N/A N/A $825 $1,075 Low Floor -1 King bed and cot

Deluxe Double N/A N/A N/A $850 $1,100 Low Floor- 2 double beds

Standard King $400 $620 $725 $975

4th & 5th Floors - 1 King bed and cot

Standard Double $400 $650 $750 $1,000 4th & 5th Floors- 2 double beds

1 Weeknight $210 N/A N/A N/A N/A Standard Room - Please make sure to indicate

(Wed or Thurs) King or Double on form.

Group Rate is for 4 or more people sharing one room. The Group must be pre-arranged by the participants and

N/A N/A N/A $450 $600 a separate form is required for each member of the group Group Rate Room type will be chosen by the Convention office.

All forms must be submitted together.

INFANT & CHILD CARE: Torah Umesorah recognizes and appreciates the valuable input and participation of our principals and mechanchos who are also parents of infants and toddlers. Therefore, in order to best service our entire delegate body, Torah Umesorah will subsidize quality infant and toddler care during session hours (Friday morning and afternoon, the Shalosh Seudos Meal ONLY and Sunday morning). This service is only for infants and toddlers three years and younger. The charge is $25 per child.

PRE-REGISTRATION IS A MUST. Please register your child using the Convention Registration Form. You will be served on a first-come, first-served basis. Space is limited. Please remember: Babies and children will not be permitted at workshop sessions.

Cancellations will be refunded only on written notification by 5/ 3/ 16.

®veryschool. everyteacher.

everychild .

TORAH UMESORAH

60TH ANNUAL NATIONAL LEADERSHIP CONVENTION

REGISTRATION FORM

DELEGATE INFORMATION

DRabbi DMr. D Dr. D RebbetzinDMrs. D Miss

First Name:

Last Name:

Home Phone: ( __ ) ____ - _____ _

Cell Phone: ( ___ ) ____ - ____ _

Email:

Home Address:

City __________ State ____ Zip ____ _

School Name:

School Address:

City __________ State ____ Zip ____ _

School Phone: ( ___ ) _____ - ______ Extension: __ _

School Fax: ( __ ) ______ - ____ _

GUEST INFORMATION

Delegate: (check off all that apply}

D Principal D Administrator Dreacher; Grade: __

D Exhibitor D *Chinuch.org Contributor D Other

ARRIVAL DATE D Wednesday D Thursday D Friday

DEPARTURE DATE D Thursday D Friday D Sunday

Spouse Name: _______________ _

(check off all that apply}

D Principal D Administrator Dreacher; Grade: __

D Exhibitor D *Chinuch.org Contributor D Other

ARRIVAL DATE D Wednesday D Thursday D Friday

DEPARTURE DATE D Thursday D Friday D Sunday

Babysitting and Child Information: No. of children attending:__ Ages: _______ _ Arrival Dates:D Wednesday D Thursday D Friday

RATE SCHEDULE Please refer to the information sheet for prices and descriptions.

ROOM CATEGORY DESIRED: D Executive SuiteD Deluxe King D Deluxe Double D Standard King D Standard Double D Single Occupancy- add 50% D I will have a roomate (each party must register separately):

Roomate Name: D I would like a roo mate, please arrange it for m-e_-----0 Group Rate (list names here): _____________ _

#of children under 15 (sharing a room with 2 adults is 1/2 price) __ _

#of children under 2 years old (no charge) ____ _

FEES: Registration Fee - per delegate family...................... $60 Group Rate Registration Fee..................................... $60 per person Babysitting (kids 3 and under, during sessions only) ... $25 per child Crib- limited availability ............................................ $20 per night DYes, please reserve __ crib(s).

PRE-CONVENTION PRINCIPAL SEMINAR: Pre-Convention Principal Seminar- in advance ......... $250 Pre-Convention Principal Seminar- at the door........ $275

DYes, I am attending the Pre-Convention-# of ppl ____ _

BABYSITTING REGISTRATION: Please register my children:

Child 1 Name: ___________ MIF Age: ____ _

Child 2 Name: ___________ MIF Age: ___ _

Child 3 Name: ___________ MIF Age: ___ _

(Allergy information should be shared upon arrival with the head babysitters.)

Do you receive text messages? YIN Cell #for Emergency: ( ___ ) ____ -____ _

*Chinuch.org contributor discount code: ___ _ *Contributors with materials currently posted on the site are entitled to a $25 discount. If you did not receive the code by email, please contact us at materials@chinuch.org or call 314.266.1015.

METHOD OF PAYMENT: All reservations require a deposit of $100 per person .

D Charge full amount today to take advantage of express check-in.

D Charge only the $100 per person deposit.

D Check Amount: $___ Check#: ___ _

0 Credit Card: MC I VISA I AMEXI DISCOVER

DODD DODD DODD DODD

Expiration Date:O D D D Security Code: D D D D

Billing Address: __________________ _ City __________ State ____ Zip ____ _

Signature: ______________ _ Total amount due wil be reflected on your confirmation invoice.

Mail with deposit to: Torah Umesorah Convention, 620 Foster Ave., 6'h Floor, Brooklyn, NY 11230 Tel: 718.744.3825 Fax: 212.406.6934