Algemeyner nomen / Full name
Yidisher nomen / Yiddish name

 

Vifl mentshn kumen? (Rekhent arayn
zikh un ale andere vemen ir registrirt):
Please enter the number of people,
including yourself, for
whom you are registering:

 

Nemen fun di andere registrantn.
Git tsu vi alt s'zenen ale kinder vos kumen mit:
Names of other registrants. Please
include ages of children

 

Adres / Address
Shtot / City
Shtat / State
Postkod / Zip code
Land / Country
Telefon-numer / Telephone number
Blitspost-adres / E-mail address
Epes vos ir tort nisht esn? / Dietary restrictions

Mit vemen ken men zikh shteln in kontakt
tomer vet kh"v zayn a noytfal? / Emergency Contact

 

Oyb ir volt geven a baln ontsufirn mit
an aktivitet, diskusye, oder haltn a referat
(alts, farshteyt zikh, af yidish), bashraybt es do:
If you would like to lead an activity
discussion, or lecture (all in Yiddish),
please specify:

 

Transport tsu un fun der yidish vokh (oytobus):
Bus to/from Yidish Vokh. Please specify the number of seats you would like to reserve:

Nor ahin: / To the campsite, only ($30):
Nor tsurik: / From the campsite, only ($30):
Ahin un tsurik: Round Trip, ($50):

Ale bateylikte in der yidish-vokh zenen mekhuyev tsu zayn mitglider funem Yugntruf. Vifl mentshn veln bay aykh darfn vern mitglider?
All participants of Yidish Vokh must be members of Yugntruf. Please select the number of memberships your party requires below:

Vifl studentn ($25): / Student membership, ($25):
Vifl andere ($50): Regular membership, ($50):

 

Vifl mentshn bay aykh voltn gevolt zikh
lernen in a yidish-klas af der yidish-vokh?
How many people in your party
would like to take a Yiddish class?

 

Vet ir yedn tog tsuforn tsu der yidish-vokh,
oder vet ir nekhtikn dortn?
Is your party made up of commuters
or people staying on site?


Do you have any special requests, such as housing requests?
Vilt ir epes bazunders betn, lemoshl vos shayekh der kvartir?