Adamah on Campus LA Day Immersive Retreat

Sunday, October 18, 2026
11am-3pm

Shalom Institute, Calabasas Campus
1666 Las Virgenes Canyon Rd
Calabasas, CA 91302

Join students from across Southern California for a day of Jewish learning, nature, and community. Connect with fellow leaders, enjoy a guided hike and plant-forward lunch, and leave inspired with new ideas for campus. This retreat is free for students. Adamah covers all food, supplies, and program costs. Students are responsible for their own transportation. If you need a travel stipend, please contact Marissa Fink for details.

Personal Details

First Name

Middle Name

Last Name

Email

Mobile Phone

Birth Year

Pronouns

College/University

Graduation Year

More Details

Home Mailing Address (permamenet home address, not campus address)

City

State

Zip Code

Country

Parent/Guardian Information

Salutation

First Name

Last Name

Parent/Guardian Email

Mobile Phone

Should we use your parent(s) as Emergency Contact(s)?

YesNo, I would like to provide someone else as my Emergency Contact

Emergency Contact

First Name

Last Name

Mobile Phone

Relationship

What is their relationship to you?

Email

Email Consents

By registering for this program, you consent to receive program related emails. Would you like to be added to Adamah's general email list?

Yes

Would you like to be added to the Adamah on Campus newsletter list?

Yes

Would you like to be added to the Adamah Los Angeles newsletter list?

Yes

Adamah on Campus partners closely with Hillel, and as part of a new iteration of this partnership, we will share with them the information of students who attend our immersive experiences. Do you agree to have your name and campus information shared with Hillel?

Yes

Optional Demographic Questions

We strive to make our programs as diverse, equitable, and inclusive as possible. Knowing more about you helps us do that. We acknowledge that identity is complex and that your identity may not fit into these categories. The following questions are optional, but strongly encouraged.

How do you identify religiously?

Please describe how you identify religiously

What is your Jewish ethnicity?

Please describe your Jewish ethnicity

What is your gender identity?

Please describe your gender

Which of the following best describes you?

Please describe how you identify racially

Age Confirmation (for liability purposes)

At the time of this program will you be over 18?

Yes, I will be 18 or olderNo, I will be under 18

The consents below must be affirmed by a parent or guardian:

Parent/Guardian Name

Parent/Guardian Phone Number

Adamah Photography / Social Media Waiver

There may be photography at this event. We may use photos on our website, in digital promotions, or in print materials. Unless we get your direct consent, we will not use your name along with the photo. If you do not want to be photographed at all, please speak to the lead staff at the event upon your arrival, and take care to not be part of group photos.

I consent to the publicity release above (for myself and all minors for whom I am registering at this time)

Safety and Liability Waiver

I ACKNOWLEDGE that the Participant's choice to participate in the Program is knowing, voluntary, and made for their personal enjoyment. I hereby certify that the Participant is physically fit and capable of participating in this Program and that they do not suffer from any condition, sickness, or disease that would impair their ability to participate in the Program or that presents any danger to their wellbeing as the result of such participation. I assume all the foregoing risks and fully accept personal responsibility for all expenses, medical or otherwise, following any such damages, injury, permanent disability, or death.

I RELEASE and DISCHARGE Adamah and its directors, officers, members, employees, agents, successors, and assigns, from and waive any and all liability to myself, heirs and next of kin or any other person, for any and all claims, demands, losses, or damages, including death or damage to property, which, in whole or in part, arise from, relate to or are alleged to arise from or relate to the Program, any and all related events and activities in which the Participant takes part. I recognize that the Participant has an important personal obligation to conduct themself in a manner compatible with local laws and regulations, and will abide by all such policies and promise to act responsibly and with respect for persons and property.

I agree to terms of the safety and liability waiver (for myself and for all minors for whom I am registering at this time)

Programming at the Retreat

Help us shape the retreat! Which topics or activities interest you most?

Please elaborate on your answer above if you want to tell us exactly what you're interested in or if you'd like to help lead this experience. Your input will help guide the retreat programming.

If you need any special accommodations to allow you to fully participate in this event, please specify your needs here. We may contact you to better understand your needs so we can work to make this event as accessible as possible.

Thanks to generous supporters, there is no cost for this experience, but we do work diligently in planning ahead for food quantities and materials. If you need to cancel, please let us know as soon as possible so that we can make adjustments.

I understand

Optional donation

Other Amount

Total

payment amount for SF mapping

Credit Card Information

Card Number

MM

YY

CVV