FELLOWSHIP SEMINAR

RESERVATION FORM

MONDAY, JULY 15, 8:30 AM – TUESDAY, JULY 16, 5 PM

SHERATON EDISON, EDISON, NJ

We look forward to continuing to build the OU Women’s Initiative Fellowship Community!

Name(Required)

First Last

Email(Required)

Cell Phone(Required)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

I am part of(Required)

2024 (current cohort)

2023 (alumni of last year's cohort)

Each woman will be provided with her own hotel room Monday evening (single occupancy).

Conference arrival time(Required)

We offer the option to reserve a room Sunday evening (you will be able to stay in this same room Monday evening, and have access to your room all day Monday. Those arriving on Monday will check in to rooms in the afternoon. Luggage storage will be provided. ) Cost is $170. Light boxed dinner will be provided.

I will arrive at the hotel Sunday, July 14, and would like to reserve a room

I will arrive Monday morning by 8:30 AM and will sleep at the hotel on Monday evening (at no cost, as a guest of the Fellowship program)

Sunday evening room reservation (single occupancy) and boxed dinner(Required)

Price:

Staff coupon code

Total

Credit Card(Required)

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Will you be requesting travel reimbursement?(Required)

If applicable, you will receive a travel reimbursement form from Nechama Epstein, our Operations manager. Reimbursements will be processed after the seminar.

I live more than 275 miles away from the hotel, and will be requesting up to $350 in travel reimbursment.

I live between 75 and 275 miles away from the hotel and will be requesting up to $50 in travel reimbursements.

I live less than 75 miles away from the hotel.

Additional comments

Fellowship Directory

We plan to share a printed directory of Fellowship participants which will serve as a valuable resource for you. Please enter the information below as you would like it to be printed in the directory. Please check that all spelling and contact information is correct.

Name

First Last

Cell phone

Preferred method of contact(Required)

Check all that apply

Text Message

Phone

Address

City State

Communal role(Required)

Check all that apply

Rebbetzin

Kallah Teacher

Chinuch Professional

Kiruv Professional

Other

Please describe your "other" role(Required)

Number or years in role (s)(Required)

Primary areas of communal and professional involvement(Required)

Please share up to 5 areas of communal and professional involvement - in the exact way you would like it to appear in the directory. (Click the circle on the right to add additional positions.)

Your position

Organization/company

Additional comments you would like to include in the directory - elaborate on the above, share a message with participants, etc.

Please edit and review for errors as this entry will automatically upload to the directory as is.

Thumbnail photo(Required)

Please upload a picture so women can put a face to the name and stay connected. This is for directory use only and will not be posted online.

Max. file size: 512 MB.

Media Release

ORTHODOX UNION MEDIA RELEASE(Required)

From time to time, The Union of Orthodox Jewish Congregations of America, and its programs, employees and agents (together, the “Orthodox Union”) take photographs and videos of individuals, including minors, who attend or participate in Orthodox Union events, programs, and other offerings. The Orthodox Union engages in these activities for purposes relating to the advancement of the religious, spiritual, charitable, and educational goals and objectives of the Orthodox Union, including but not limited to the sharing of photos/videos in newsletters, on our blogs, and on our website and social media pages for the purpose of keeping our members and others informed of the Orthodox Union’s events and other activities. Please complete this form to give us permission to take photos/videos of you and/or your children when you participate in Orthodox Union events or programs and to use those photos/videos in our printed and online publicity:

I hereby authorize the Orthodox Union to take photographs and/or video of me (or my children) when I (or my children) participate at Orthodox Union events or programs. I grant the Orthodox Union full rights to use and share the images resulting from the photographs and/or videos and any reproductions thereof (the “Recording”), in whole or in part, along with my (or my children’s) name, biographical information and quotations for any purpose including fundraising, publicity, advertising, or on social media, all without further obligation or compensation. I hereby waive any right of review or approval regarding the Recording and the Orthodox Union shall have the right to edit or delete the Recording in its sole discretion. I understand that all rights in and to the Recording shall be the Orthodox Union’s sole and absolute property. I understand that if I access the Orthodox Union’s services through a third party platform, product, service, or application (a “Third Party Service”), content and related information generated while accessing OU’s services in this manner may be monitored, captured, and or recorded by the third parties that provide such Third Party Services. I consent to the use and sharing of personal information by any such third party as described in the privacy policy available through the Third Party Service. I release and forever discharge the Orthodox Union from all causes of action, suits, or liability of any kind arising from or in connection with the use or publication of any Recording of me or my children made in connection with my participation in Orthodox Union events. I waive any right of privacy associated with the Recording and I waive any right to compensation related to the use of the Recording.
I HAVE READ THIS AGREEMENT AND AM FULLY AWARE OF ITS CONTENTS, INCLUDING THE RELEASE THAT I HAVE AGREED TO HEREIN.
I warrant that I am at least eighteen years of age (or, if not, that my parent or legal guardian has agreed to the foregoing and signed below) and that I have the full and unrestricted authority to enter into a contract for myself (or, if not, that my parent or legal guardian has agreed to the foregoing and signed below).
If any provision of this agreement is held to be unenforceable, the remainder of it shall continue to be in full force and effect.
This waiver shall remain in effect until such time as I advise the OU otherwise in writing.

I acknowledge and represent that I am at least eighteen (18) years of age and that I have read the foregoing TERMS OF CONTEST, & THE ORTHODOX UNION MEDIA RELEASE, and that I understand it and sign it voluntarily. By signing below I agree to both - followed by parents' electronic signature.
Printed Name *
By typing my name here, I am signing this form electronically and I agree that this electronic signature is the equivalent of my manual signature on this form.
Email *
Phone *
Address *
- Same as address above
Date: 07/26/2024