Sign Up for Chapter Membership Retreat 2019

March 1-3,2019 at  Herzl Camp!

Open to our Adath USY (9th-12th gr) paid members. Enjoy a super Shabbat weekend as a super chapter. Come participate in this Chapter Membership Retreat filled with engaging activities and teen-led Shabbat services. All this fun in a beautiful setting in Webster, Wisconsin at HERZL CAMP!

You must be a current 2018-19 paid Adath USY Member. Need to sign up? Go to

Registration fee: $125

Applications due Tuesday, February 19 at 5 PM.

Teen Information


First Parent/Guardian Information

Second Parent/Guardian Information

Emergency Contact

Emergency contact (other than parents) in case of illness. This person MUST be able to come and pick up your child.


ADATH CODE OF CONDUCT For purposes of this Code of Conduct, a “USY event” or “activity” shall include all times from when a USYer leaves his or her home, through when the USYer returns to his or her home, including free time and during transportation to and from the event.

1. Kashrut will be observed, including during transportation to and from USY events, and during free time.

2. Religious Observance. All USYers and staff shall observe the religious policies established by the United Synagogue of Conservative Judaism, including those pertaining to Shabbat observance (including arrival prior to Shabbat and travel on Shabbat exclusively to a scheduled synagogue event or services); all males and females who choose to must wear Tallit/T’fillin for morning services, where appropriate. All USYers shall wear clothing appropriate to the event/location.

3. Possession or use of any weapons, alcohol, tobacco products and/or illegal drugs is not permitted at a USY event. Gambling for anything other than charitable purposes in connection with a sanctioned USY program is not permitted.

4. Timely attendance at all scheduled USY event activities is required, and only those registered for the USY event are permitted to attend, unless otherwise approved by the event director. No USYer may leave the premises in which a scheduled event is located without prior approval of the event director, as well as prior permission of the parent/guardian. No USYer shall be permitted to drive unsupervised to an out-of-town regional event.

5. Camp/Hotel Hospitality. Males are not permitted in sleeping rooms occupied by females, and females are not permitted in sleeping rooms occupied by males. No USYer shall leave his/her room after curfew.

6. Observance of Civil/Criminal law. No USYer or staff shall violate any civil or criminal law, including, but not limited to. Those related to tampering of or destruction to property, and destruction of one’s own or another person’s physical and/or mental integrity. Inappropriate or unwelcome physical contact or language, indecent attire or public nudity, shall not be permitted.

7. Cooperation with Staff. Each USYer shall fully cooperate with every staff person, including volunteer staff persons, and shall otherwise adhere to all rules established for the event.

Anyone who violates this Code of Conduct shall be subject to disciplinary consequences, including, but not limited to, being sent home at the expense of the violating USYer (or his/her parent/guardian), monetary payment for personal and/or property damages and suspension from future USY events. The event director reserves the right to enforce these and any other behavioral rules, and impose additional sanctions with respect to behavior that would otherwise affect the integrity of the USY event and/or the health, safety and welfare of its participants and staff.

I have read the Code of Conduct and I agree to abide by its terms.

My child has my permission to attend Adath CMR. I have read the Code of Conduct and understand that violating it could result in my child being sent home at my expense. In case of emergency, I give the adult in charge my permission for medical treatment to facilitate immediate emergency action. I hereby authorize the medical personnel to order x-rays, routine tests and treatment for my child, and in the event I cannot be reached in an emergency, I hereby authorize the physician to hospitalize, secure proper treatment for, and order injection and/or anesthesia and/or surgery for my child as named above.
I, the USYer, shall cooperate and participate to the fullest in the CMR program. I have read, understand, and shall adhere to the USY Code of Conduct. I understand the responsibility that I am undertaking. I understand that violation of the Code of Conduct may result in being sent home at my parent’s expense.