36-hour road Trip “RESET” Questionnaire

all attendees must complete the form below

Name of person filling this out

Sunday’s lunch will be one of the 4 salads listed below - so yummy! Please pick 1 from the following 4 Fancy Plants Salads options, under KM supervision. Please keep in mind, no changes/substitutions can be made to any of the salads.

Please make your selection below

1. **SIGNATURE SALAD** - Romaine, Grape Tomato, Persian Cucumbers, Carrots, Purple Cabbage, Julienne Beets, Roasted Sweet Potatoes, Roasted Eggplant, Roasted Baby Bella Mushrooms, Quinoa and Sprouts, Lemon Herb Baked Salmon, Miso Tahini Dressing

2. **HOLLYWOOD SALAD** - Arugula, Feta, Sweet Potato, Beets, Roasted Baby Bella Mushrooms, Sprouts, Maple Shallot Dressing

3. **GREEN GODDESS** - Kale, Arugula, Romaine, Persian Cucumber, Julienne Kohlrabi, Shredded Cabbage, Roasted Eggplant, Sprouts, Toasted Pepitas, Pom Seeds with Vegan Burger, Lemon Basil Dressing

4. **THAI CHOP SALAD** - Romaine, Carrots, White and Purple Cabbage, Snow Pea, Julienne Pepper, Julienne Cucumber, Sprouts, Cilantro, Scallions, Toasted Almonds, Toasted Sesame with Tofu, Sesame Ginger Dressing

FOR THE STRICTLY KOSHER: Would you like to purchase 1 or 2 additional Fancy Plants salads/ warm bowls for $27 each, or are you comfortable eating in restaurants? If yes, please venmo @camplisatravels to remit payment

If you are strictly kosher we recommend purchasing this for dinner. There will be vegan options on Monday. WARM BOWLS: Choice of: -Cauliflower Rice, -Quinoa -Brown Rice Assorted roasted and grilled vegetables CHOICE OF DRESSING: Lemon Basil Miso Tahini Cashew Caesar Carrot Ginger Honey Sesame Maple Shallot

Please specify your additional food selections

What are you most looking forward to on this trip?

What is the coolest place you have been to in Florida? Disney & Universal - don’t count

Is this your first time away without your spouse or kids?

Car name

THIS IS A MUST- please discuss this with your group and get back to us. Since this trip is about “who you bring vs. where you go” - we want all cars to have names. This year’s theme that we’ve been encouraging through our messaging is women coming together, taking time to reflect, nourish our resilience, and most of all our love and deep appreciation for our homeland of Israel. So, with that in mind, go back to your Jewish camp experience, maybe your HSI favorite group names, wherever you met, and what connects - can be how you express yourselves - The *BEST car name will win an awesome PRIZE!*

Who is the pilot in your group? Who is the co-pilot?

We do need one card for incidentals at the hotel per room + a picture of your drivers license info, front and back. Please contact Lisa for this info and specify below who will be sending it.