REGISTRATION FORM

Teens are considered adults

1st Adult _____________________________ 2nd Adult ________________________

3rd Adult _____________________________ 4th Adult ________________________

Children 12 & under - names & ages

1. ________________     2. _______________ 3. _________________________4. _____________________

If additional children, please add on the back of this form

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Hotel sleeping rooms are on floors 2 - 6

Near the elevator ____  High Floor _____ Low Floor

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NUMBER OF ROOMS REQUIRED _____
Bedding choices are a King Bed or 2 Queen Beds

Room # 1 __________ Room # 2 __________Room # 3 __________ Room # 4 ___________
If you have more than 4 rooms, please add on the bedding choices on the back of this form

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RENTALS
There is a charge for each rental so check with us before you prepare your check

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DATE OF ARRIVAL: __________ DATE OF DEPARTURE: __________

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SELECT YOUR SEDER PREFERENCE

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BIRTHDAY CAKES

Date celebrating the birthday _________ At Lunch ____ At Dinner _____

FOOD REQUESTS

Gebrokts __________  Non-Gebrokts ________

Nut FREE ____ Dairy FREE ____ Sugar FREE ____Vegetarian ____

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DEPOSIT IS $ 1,500 PER ROOM

Please mail this form with your deposit check to:

Passover Resorts
7162 Beverly Blvd. # 123
Los Angeles, CA 90036

Contact us for the deposit amount if you are reserving a Jr. Suite or Suite.

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Copyright © 2000 - 2016 Passover Resorts All rights reserved