The Lake Ontario Region of BBYO

Program Bank ∙ Build a Prayer ∙ Dashboard ∙ BBYO International

	BBYO Lake Ontario Region 4588 Bathurst Street #1-22 Toronto, ON M2R 1W6 T. 416.398.2004 ∙ F. 416.398.5780 info@bbyo.ca
Meaningful Jewish Experiences for Toronto-area Teens

Event Registration

Fall Convention

September 16-18, 2011
at Mansfield Outdoor Centre
in Mansfield, Ontario

Two great convention in one:

New Members Convention - Meet new teens from across the city, discover the rich history and traditions of AZA and BBG, experience a meaningful teen-led Shabbat and have a blast!

Regional Leadership Training Convention - RLTC is your chance to learn the elements of leadership that will determine your success, both in your chapters and beyond.

Bus transportation is offered from the Prosserman JCC in Toronto or from the Dufferin Clark Community Centre in Vaughan.

Participant information, including a suggested packing list and emergency contact information,
will be provided via email prior to convention.

Registration Deadline:
Tuesday, September 13^th
$219

Partial scholarships are available based on need and vary subject to the availability of funds. To apply for scholarship assistance, you must first complete the application below. Your credit card will not be processed until you are contacted by the Regional Office about scholarship availability.

Buses depart at 3pm Friday from the Prosserman JCC or Dufferin Clark Community Centre,
and return at 5pm Sunday.

Required fields are marked with a *

Participant Information:

* Last Name * First Name * Grade Chapter

* Home Phone Cell Phone * Email Address

Parent Information:

* Parent 1 - Name * Home Phone Cell Phone * Email Address

Parent 2 - Name Home Phone Cell Phone Email Address

Registration Information:

* Transportation Choice:

Please list ALL dietary restrictions:

You may request ONE roommate:

Be sure that person requests you as well. Only mutual requests can be guaranteed.

Payment Information:

* Program Fee:
* Membership Fee:	You must be a member of BBYO in order to attend this convention.
Donation to Scholarship Fund:	Tax receipts will be issued. Your optional contribution to BBYO's scholarship fund helps to ensure no teen is unable to participate due to financial reasons.

Total Payment is Program Fee + Membership Fee + Optional Donation

Refund Policy: For cancellations received up to and including September 13th, a refund of 80% of the Program Fee will be issued. No refunds will be issued for cancellations received after September 13th.

Scholarship: BBYO is committed to providing meaningful Jewish experiences to all Jewish teens. Program scholarships are available based on need and vary subject to the availability of funds. Please check here if you would like to be considered for a scholarship and our Regional Office will contact you with further details:


* Payment Method	Card Number	Expiry Date	Name Of Card Holder:

* If selecting payment by Cash or Cheque, your registration will not be processed until payment is received by BBYO. Please submit payment by the applicable deadline to: BBYO - 4588 Bathurst Street #1-22, Toronto, ON M2R 1W6