2024 Spring R&R Retreat Questionnaire 
Filling this questionnaire is an application to attend the Rappers and Rabbi's Spring Retreat.  
The location will be a lakefront property with two houses in the Pocono Mountains of PA. 
Final confirmation will be sent out third week of March 2024. 
If you have questions regarding attendance or any other aspect of the retreat please reach out by email to coordinator Rachel Haymer rachel.haymer@gmail
Sign in to Google to save your progress. Learn more
Email *
Name *
Best contact info (email or phone, strictly for retreat communications)  *
Emergency Contact Person,
Name, Number, Relationship to you
*
Have you previously attended retreats hosted by Rappers and Rabbis *
How did you find out about this retreat?  *
Tell us about your music/rap/art. Give a short synopsis of your artistic life and story. Include links if applicable *
What are your dietary restrictions  *
Where will you be traveling from for this? *
Are you bringing a car? Are you able to give rides to others within reason? *
Required
Length of attendance 
The retreat house is booked from Thursday through Monday April 4-8. 
Which days will you attend? 
*
Required
The fee for attending is $125 including all food and activities.  *
Would you be interested in teaching a workshop for the group? Describe what offering you would bring 
What are you most looking forward to about this retreat? 
This house is on a lake front  *
Avodah *
Out of an abundance of caution, do you have any health conditions, recent medical events, or other physical or mental support needs to share? Feel free to list medications and anything else necessary to know for emergencies. All responses kept strictly confidential.  *
Is there anything else you would like to tell us or to be considered in this application? 
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy