Our Hospitality Suite offers a Shabbos or Yom Tov home-away-from home for families of patients who need to stay near the Jewish General or St. Mary's Hospital. Just minutes away, the suite boasts a warm and comfortable setting that allows you to remain close to your family member during their medical stay. Your Name* First Name Last Name Phone Number* E-mail Address* Address* Street Address Street Address Line 2 City State / Province Postal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOther Country Patient Information - (if you would to like to add name for a Mi Shebeirach / healing prayer) Patient's Jewish name and name of mother Date of Stay Time of check-in is to be discussed with the host. Check out is on Motzei Shabbos one hour after Zman. Check In Date* Month Day Year Check Out Date* Month Day Year GUEST INFORMATION(maximum 5 individuals) Number of guests Guest #1 Name* First Name Last Name Guest #1 Gender* MaleFemale Guest #2 Name First Name Last Name Guest #2 Gender MaleFemale Guest #3 Name First Name Last Name Guest #3 Gender MaleFemale Guest #4 Name First Name Last Name Guest #4 Gender MaleFemale Guest #5 Name First Name Last Name Guest #5 Gender MaleFemale Additional Information Would you like to join Rabbi & Mrs. Hetsroni in their home for the Friday night meal?* YesNo Number of People Donation Donation Amount (your donation helps keep our programs running and helps ensure another family can stay near the hospital when they need it most). $100$136$172$250$360$500$770$1,000 Donate by etransfer to: [email protected] Click here to donate online Comments Thank you for your inquiry. We will be in touch with you shortly to confirm availability. I would like to receive news and updates from ChabadHeart by email. I understand that information I provide to ChabadHeart will be used according to its Privacy Policy and I can unsubscribe at any time. Submit Should be Empty: This page uses TLS encryption to keep your data secure.
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