WINTER CONVENTION, WINSTY, VOLUNTEER FORM
January 13-15, 2006

Please print out this form using the "PRINT" button in your web browser, fill it out, and fax it back to Temple Emanuel at (856) 489-0032.

NAME:_________________________________________________________________

ADDRESS:______________________________________________________________

PHONE:_______________CELL:______________ E-MAIL______________________

YES, I/We would love to volunteer to host teens for this weekend retreat. I/we am/are aware that I /we am/are responsible for transportation to and from Temple Emanuel throughout this weekend. I/we am/are also able to provide breakfast both Saturday and Sunday, and Saturday dinner. I/we understand that I/we will house teens of the same gender.__________________

The number of teens I/we am/are able to host is ___________

I/we prefer to host male/female teens (please circle one)

I/we have the following pets:__________________(please list all)

I/we can provide breakfasts and Saturday dinner for special dietary needs. YES or NO

YES, I /we would love to volunteer to help with meals (preparation, set-up, serving, clean-up). All meals listed below will be at Temple Emanuel:

________ Friday, January 13, 2006…Shabbat Dinner

________Saturday, January 14, 2006..Lunch

________Sunday, January l5, 2006…Lunch

________Sunday, January 15, 2006…Dinner

YES, I /we would love to Chaperone portions of the weekend.

Please indicate all times that you are available to chaperone. Temple Emanuel must provide chaperones at a ratio of 1:9 participants.

________Friday, 1/13…dinner/services/program

________Saturday, l/14…services/Torah study/ lunch

________Saturday, 1/14…social action program in afternoon

________Saturday, l/14 …evening social program

________Sunday, 1/15…meeting/ lunch

________Sunday, 1/15…social action program in afternoon

________Sunday, 1/15…dinner

YES, I /we would love to share my creative skills(__________________) with small groups of teens for Saturday/ Sunday (circle one) social action programs.

PLEASE NOTE THAT ALL TIMES WILL BE CONFIRMED AS SOON AS POSSIBLE.

Thank you very much for your consideration and support. You will certainly help to make this an amazing weekend for our teens and our Temple.

Sandy Umansky and Tefty