MIZMOR MN 2024 REGISTRATION BY Credit Card A. Registration InformationTitle Name(Required) First Last Preferred Pronouns Badge Name(Required)First Name or Preferred Nickname Congregation/Organization NameIf applicable Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email(Required) Enter Email Confirm Email Day Phone(Required)Cell Phone(Required)Will you be attending with your spouse/partner?(Required) Yes No Spouse/Partner Name(Required)For registered spouse Photo/Video Release(Required)By checking the box below, I/we hereby grant the Cantors Assembly permission to audio and/or video record any presentation I/we might make during this year's Annual Convention, sung or spoken. In addition, the Cantors Assembly has the right to live stream and/or sell recordings of such presentations. The Cantors Assembly may use my/our name(s), likeness (e.g. photograph) and/or biographical material about me/us for any legitimate purpose in any media and in such manner at such times as the Cantors Assembly, in its sole discretion, may deem appropriate or desirable without compensation to me/us, provided that such usage relates to my/our status as a participant in the Convention. I/we hereby waive all right of inspection prior to release. I agree.B. Registration/Meal FeesPlease note the cost of registration, which includes meals (lunch and dinners), is the same as 3 or 4 days to enable more members to attend the entire convention. Meals provided begin with dinner on day of arrival and end with lunch the day of departure. Registration and Meals cannot be registered for separately. ALL Breakfasts are on your own, but will be available for purchase at the hotel restaurant or MPLS Market.How many days do you plan to attend?(Required) Four (4) Days Three (3) Days Two (2) Days Registration Type(Required)Same price for 4-day and 3-day registration $1049 - CA Full/CICA/ACC Member $849 - CA Retired Member $849 - Student $1149 - Non-Member/Guest Registration Type(Required) $849 - CA Full/CICA/ACC Member $649 - CA Retired Member $949 - Non-Member How many days will your spouse/partner attend?(Required) $849 - Four (4) Days $849 - Three (3) Days $649 - Two (2) Days Spouse/Partner Registration(Required) Price: Spouse/Partner Registration(Required) Price: Please choose one of the following options based on your expected attendance dates.(Required) Sunday Dinner - Wednesday Lunch Monday Dinner - Thursday Lunch Spouse/Partner: Please choose one of the following options based on your expected attendance dates.(Required) Sunday Dinner - Wednesday Lunch Monday Dinner - Thursday Lunch Choose one of the following options based on your expected attendance dates.(Required) Sunday Dinner - Tuesday Lunch Monday Dinner - Wednesday Lunch Tuesday Dinner - Thursday Lunch Spouse/Partner: Choose one of the following options based on your expected attendance dates.(Required) Sunday Dinner - Tuesday Lunch Monday Dinner - Wednesday Lunch Tuesday Dinner - Thursday Lunch Registration Subtotal $0.00 C. Meal PreferencesIf you do not indicate otherwise, you will be served meat entrees at SOME lunches and dinners:My Meal Request No red meat, but poultry and fish are okay. No poultry or red meat, but fish is okay. Vegetarian (Dairy is okay) Vegan (no animal products whatsoever) Additional Dietary Needs Gluten-Free Low Sodium Other Spouse/Partner Meal Request No red meat, but poultry and fish are okay. No poultry or red meat, but fish is okay. Vegetarian (Dairy is okay) Vegan (no animal products whatsoever) Spouse/Partner: Additional Dietary Needs Gluten-Free Low Sodium Other Meal choices must be considered final and cannot be changed at the convention. D: CA CONVENTION 2024 BRIT: Standards of Community BehaviorWe take seriously the spirit of Derech Eretz that defines our wonderful organization. Our care and respect for one another help us maintain a sacred and safe space wherever we gather. We have put forth the following standards in order to maintain the highest level of professionalism throughout every time we gather together as an organization, beginning with our convention in May. Per our CA Code of Conduct, as spiritual leaders, our behavior at all times must be beyond reproach. By agreeing to this brit, you agree to your role in creating a welcoming and harassment-free environment for all participants, including registrants, staff, speakers, vendors, and volunteers. We expect attendees to: Recognize our responsibility -- for ourselves and to those around us. Respect ourselves and others -- others' perspectives and personal space. Accept accountability for our actions and the consequences, both positive and negative, of our behavior. Be supportive, understanding, open-minded, and appreciative of our colleagues and the diversity of opinions and talents that they bring. We all belong here. The following behaviors do not belong at a CA gathering: Any behavior that otherwise violates our Cantors Assembly Code of Ethics, including bullying, bigotry, harassment of any kind, abuse of power, sexual innuendo, disruptive conduct, and actual or implied retaliation against a person who experiences any of these behaviors. Signature Required(Required)I understand and agree to this Brit.E. PaymentDiscount for Students $0.00 Total Credit Card(Required) Do you have any additional questions or comments?