Registration : Project Inspire

Important Information:

All children need to be registered through the registration page regardless of age.
The price of babysitting is included in the child's registration. If any child was not registered your credit card will be charged at the time of check-in.
IMPORTANT MESSAGE: If you are registering as a single adult and you plan to share the room with someone else, you must either include them in the same reservation as you or you give Project Inspire full discretion to pair you up with whoever is available to be paired.

Reservations view rate chart

Amount of rooms

Room #1

Please enter the amount of adults and children for room #1 only

Adults
(12+)

Children
(6-11)

Children
(2-5)

Infants
(0-2)

Title *

First Name *

Last Name *

Address *

City *

State *

Zip *

Age *

Gender *

Email *

Cell *

Affiliation *

Dietary Restrictions

I have had at least one covid shot

Primary Attendee

Title: *

First Name: *

Last Name: *

Address: *

City *

State: *

Zip: *

Age: *

Gender : *

Email: *

Cell: *

Jewish Affiliation *

Other Affiliation

Dietary Restrictions:

Title *

First Name *

Last Name *

Address *

City *

State *

Zip *

Age *

Gender *

Email *

Cell *

Affiliation *

Dietary Restrictions

I have had at least one covid shot

Attendee #2

Title: *

First Name: *

Last Name: *

Same as Primary

Address: *

City *

State: *

Zip: *

Age: *

Gender : *

Email: *

Cell: *

Jewish Affiliation *

Other Affiliation

Dietary Restrictions:

Title *

First Name *

Last Name *

Address *

City *

State *

Zip *

Age *

Gender *

Email *

Cell *

Affiliation *

Dietary Restrictions

I have had at least one covid shot

Attendee #3

Title: *

First Name: *

Last Name: *

Same as Primary

Address: *

City *

State: *

Zip: *

Age: *

Gender : *

Email: *

Cell: *

Jewish Affiliation *

Other Affiliation

Dietary Restrictions:

Title *

First Name *

Last Name *

Address *

City *

State *

Zip *

Age *

Gender *

Email *

Cell *

Affiliation *

Dietary Restrictions

I have had at least one covid shot

Attendee #4

Title: *

First Name: *

Last Name: *

Same as Primary

Address: *

City *

State: *

Zip: *

Age: *

Gender : *

Email: *

Cell: *

Jewish Affiliation *

Other Affiliation

Dietary Restrictions:

Additional Options For Room #1

As a single registration, you have 4 options
   Room alone for the price of single occupancy ($)
   Pair me up with one other person (and be charged double occupancy - $)
   Pair me up with two other people (and be charged triple occupancy - $)

Bed Type:

Please add a cot to room #1 for an additional $50 (Only one cot allowed per room, subject to availability.)
Please add a crib to room #1 for an additional $50 (Subject to availablity.)

Room #2

Please enter the amount of adults and children for room #2 only

Adults
(12+)

Children
(6-11)

Children
(2-5)

Infants
(0-2)

Title *

First Name *

Last Name *

Address *

City *

State *

Zip *

Age *

Gender *

Email *

Cell *

Affiliation *

Dietary Restrictions

I have had at least one covid shot

Attendee #1

Title: *

First Name: *

Last Name: *

Same as Primary

Address: *

City *

State: *

Zip: *

Age: *

Gender : *

Email: *

Cell: *

Jewish Affiliation *

Other Affiliation

Dietary Restrictions:

Title *

First Name *

Last Name *

Address *

City *

State *

Zip *

Age *

Gender *

Email *

Cell *

Affiliation *

Dietary Restrictions

I have had at least one covid shot

Attendee #2

Title: *

First Name: *

Last Name: *

Same as Primary

Address: *

City *

State: *

Zip: *

Age: *

Gender : *

Email: *

Cell: *

Jewish Affiliation *

Other Affiliation

Dietary Restrictions:

Title *

First Name *

Last Name *

Address *

City *

State *

Zip *

Age *

Gender *

Email *

Cell *

Affiliation *

Dietary Restrictions

I have had at least one covid shot

Attendee #3

Title: *

First Name: *

Last Name: *

Same as Primary

Address: *

City *

State: *

Zip: *

Age: *

Gender : *

Email: *

Cell: *

Jewish Affiliation *

Other Affiliation

Dietary Restrictions:

Title *

First Name *

Last Name *

Address *

City *

State *

Zip *

Age *

Gender *

Email *

Cell *

Affiliation *

Dietary Restrictions

I have had at least one covid shot

Attendee #4

Title: *

First Name: *

Last Name: *

Same as Primary

Address: *

City *

State: *

Zip: *

Age: *

Gender : *

Email: *

Cell: *

Jewish Affiliation *

Other Affiliation

Dietary Restrictions:

Additional Options For Room #2

Bed Type:

Please add a cot to room #2 for an additional $50 (Only one cot allowed per room, subject to availability.)
Please add a crib to room #2 for an additional $50 (Subject to availablity.)

Room #3

Please enter the amount of adults and children for room #3 only

Adults
(12+)

Children
(6-11)

Children
(2-5)

Infants
(0-2)

Title *

First Name *

Last Name *

Address *

City *

State *

Zip *

Age *

Gender *

Email *

Cell *

Affiliation *

Dietary Restrictions

I have had at least one covid shot

Attendee #1

Title: *

First Name: *

Last Name: *

Same as Primary

Address: *

City *

State: *

Zip: *

Age: *

Gender : *

Email: *

Cell: *

Jewish Affiliation *

Other Affiliation

Dietary Restrictions:

Title *

First Name *

Last Name *

Address *

City *

State *

Zip *

Age *

Gender *

Email *

Cell *

Affiliation *

Dietary Restrictions

I have had at least one covid shot

Attendee #2

Title: *

First Name: *

Last Name: *

Same as Primary

Address: *

City *

State: *

Zip: *

Age: *

Gender : *

Email: *

Cell: *

Jewish Affiliation *

Other Affiliation

Dietary Restrictions:

Title *

First Name *

Last Name *

Address *

City *

State *

Zip *

Age *

Gender *

Email *

Cell *

Affiliation *

Dietary Restrictions

I have had at least one covid shot

Attendee #3

Title: *

First Name: *

Last Name: *

Same as Primary

Address: *

City *

State: *

Zip: *

Age: *

Gender : *

Email: *

Cell: *

Jewish Affiliation *

Other Affiliation

Dietary Restrictions:

Title *

First Name *

Last Name *

Address *

City *

State *

Zip *

Age *

Gender *

Email *

Cell *

Affiliation *

Dietary Restrictions

I have had at least one covid shot

Attendee #4

Title: *

First Name: *

Last Name: *

Same as Primary

Address: *

City *

State: *

Zip: *

Age: *

Gender : *

Email: *

Cell: *

Jewish Affiliation *

Other Affiliation

Dietary Restrictions:

Additional Options For Room #3

Bed Type:

Please add a cot to room #3 for an additional $50 (Only one cot allowed per room, subject to availability.)
Please add a crib to room #3 for an additional $50 (Subject to availablity.)

Room #4

Please enter the amount of adults and children for room #4 only

Adults
(12+)

Children
(6-11)

Children
(2-5)

Infants
(0-2)

Title *

First Name *

Last Name *

Address *

City *

State *

Zip *

Age *

Gender *

Email *

Cell *

Affiliation *

Dietary Restrictions

I have had at least one covid shot

Attendee #1

Title: *

First Name: *

Last Name: *

Same as Primary

Address: *

City *

State: *

Zip: *

Age: *

Gender : *

Email: *

Cell: *

Jewish Affiliation *

Other Affiliation

Dietary Restrictions:

Title *

First Name *

Last Name *

Address *

City *

State *

Zip *

Age *

Gender *

Email *

Cell *

Affiliation *

Dietary Restrictions

I have had at least one covid shot

Attendee #2

Title: *

First Name: *

Last Name: *

Same as Primary

Address: *

City *

State: *

Zip: *

Age: *

Gender : *

Email: *

Cell: *

Jewish Affiliation *

Other Affiliation

Dietary Restrictions:

Title *

First Name *

Last Name *

Address *

City *

State *

Zip *

Age *

Gender *

Email *

Cell *

Affiliation *

Dietary Restrictions

I have had at least one covid shot

Attendee #3

Title: *

First Name: *

Last Name: *

Same as Primary

Address: *

City *

State: *

Zip: *

Age: *

Gender : *

Email: *

Cell: *

Jewish Affiliation *

Other Affiliation

Dietary Restrictions:

Title *

First Name *

Last Name *

Address *

City *

State *

Zip *

Age *

Gender *

Email *

Cell *

Affiliation *

Dietary Restrictions

I have had at least one covid shot

Attendee #4

Title: *

First Name: *

Last Name: *

Same as Primary

Address: *

City *

State: *

Zip: *

Age: *

Gender : *

Email: *

Cell: *

Jewish Affiliation *

Other Affiliation

Dietary Restrictions:

Additional Options For Room #4

Bed Type:

Please add a cot to room #4 for an additional $50 (Only one cot allowed per room, subject to availability.)
Please add a crib to room #4 for an additional $50 (Subject to availablity.)

Room #5

Please enter the amount of adults and children for room #5 only

Adults
(12+)

Children
(6-11)

Children
(2-5)

Infants
(0-2)

Title *

First Name *

Last Name *

Address *

City *

State *

Zip *

Age *

Gender *

Email *

Cell *

Affiliation *

Dietary Restrictions

I have had at least one covid shot

Attendee #1

Title: *

First Name: *

Last Name: *

Same as Primary

Address: *

City *

State: *

Zip: *

Age: *

Gender : *

Email: *

Cell: *

Jewish Affiliation *

Other Affiliation

Dietary Restrictions:

Title *

First Name *

Last Name *

Address *

City *

State *

Zip *

Age *

Gender *

Email *

Cell *

Affiliation *

Dietary Restrictions

I have had at least one covid shot

Attendee #2

Title: *

First Name: *

Last Name: *

Same as Primary

Address: *

City *

State: *

Zip: *

Age: *

Gender : *

Email: *

Cell: *

Jewish Affiliation *

Other Affiliation

Dietary Restrictions:

Title *

First Name *

Last Name *

Address *

City *

State *

Zip *

Age *

Gender *

Email *

Cell *

Affiliation *

Dietary Restrictions

I have had at least one covid shot

Attendee #3

Title: *

First Name: *

Last Name: *

Same as Primary

Address: *

City *

State: *

Zip: *

Age: *

Gender : *

Email: *

Cell: *

Jewish Affiliation *

Other Affiliation

Dietary Restrictions:

Title *

First Name *

Last Name *

Address *

City *

State *

Zip *

Age *

Gender *

Email *

Cell *

Affiliation *

Dietary Restrictions

I have had at least one covid shot

Attendee #4

Title: *

First Name: *

Last Name: *

Same as Primary

Address: *

City *

State: *

Zip: *

Age: *

Gender : *

Email: *

Cell: *

Jewish Affiliation *

Other Affiliation

Dietary Restrictions:

Additional Options For Room #5

Bed Type:

Please add a cot to room #5 for an additional $50 (Only one cot allowed per room, subject to availability.)
Please add a crib to room #5 for an additional $50 (Subject to availablity.)

Room #6

Please enter the amount of adults and children for room #6 only

Adults
(12+)

Children
(6-11)

Children
(2-5)

Infants
(0-2)

Title *

First Name *

Last Name *

Address *

City *

State *

Zip *

Age *

Gender *

Email *

Cell *

Affiliation *

Dietary Restrictions

I have had at least one covid shot

Attendee #1

Title: *

First Name: *

Last Name: *

Same as Primary

Address: *

City *

State: *

Zip: *

Age: *

Gender : *

Email: *

Cell: *

Jewish Affiliation *

Other Affiliation

Dietary Restrictions:

Title *

First Name *

Last Name *

Address *

City *

State *

Zip *

Age *

Gender *

Email *

Cell *

Affiliation *

Dietary Restrictions

I have had at least one covid shot

Attendee #2

Title: *

First Name: *

Last Name: *

Same as Primary

Address: *

City *

State: *

Zip: *

Age: *

Gender : *

Email: *

Cell: *

Jewish Affiliation *

Other Affiliation

Dietary Restrictions:

Title *

First Name *

Last Name *

Address *

City *

State *

Zip *

Age *

Gender *

Email *

Cell *

Affiliation *

Dietary Restrictions

I have had at least one covid shot

Attendee #3

Title: *

First Name: *

Last Name: *

Same as Primary

Address: *

City *

State: *

Zip: *

Age: *

Gender : *

Email: *

Cell: *

Jewish Affiliation *

Other Affiliation

Dietary Restrictions:

Title *

First Name *

Last Name *

Address *

City *

State *

Zip *

Age *

Gender *

Email *

Cell *

Affiliation *

Dietary Restrictions

I have had at least one covid shot

Attendee #4

Title: *

First Name: *

Last Name: *

Same as Primary

Address: *

City *

State: *

Zip: *

Age: *

Gender : *

Email: *

Cell: *

Jewish Affiliation *

Other Affiliation

Dietary Restrictions:

Additional Options For Room #6

Bed Type:

Please add a cot to room #6 for an additional $50 (Only one cot allowed per room, subject to availability.)
Please add a crib to room #6 for an additional $50 (Subject to availablity.)

Additional Options

Please add a high chair for an additional $20. (Subject to availability.)

Sponsor a Couple

Sponsor a couple for $2,500 and allow fellow Jews to experience The Body and Soul Retreat.
I would like to make an additional donation of $

Total $

Billing Information same as above

Title:

First Name: *

Last Name: *

Address: *

City: *

State: *

Zip: *

Country: *

Home Phone: *

Cell Phone:

Email Address: *

Payment Details

Card Type: *

Card Number: * (with no spaces)

Expiration Month: *

Expiration Year: *

Security Code: *

Additional Information

Are you coming with a particular Project Inspire Community? *

Yes No

Please let us know who recommended you to come *

Seating Request:
The conference has assigned seating for the shabbos meals. Please specify people that you would like to sit with and we will do our best to accommodate.

How did you hear about us/Where did you see our ad?

Additional Comments:
We can not guarantee any specific room requests. We will do our best to accommodate but putting a request does not guarantee it. If you have any specific concerns you can contact us at [email protected].

When submitting your registration, your credit card will immediately be charged the above stated amount.
Should there be any changes or additions to your
registration, including additional room, guests or additional options, the charge will be altered accordingly.

We can not guarantee any specific room requests.
We will do our best to accommodate but putting a request does not guarantee it.
If you have any specific concerns you can contact us at [email protected].

By clicking register you agree to allow Project Inspire to charge your credit card, and agree to the terms of our registration policy.
Your credit card will be charged automatically upon clicking the "register" button below.

Only enter this field if you were told to do so by a staff member.

Registration for Project Inspire's Body & Soul Retreat