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Community Shabbat Dinner Registration
Name
(Required)
First
Last
Email
(Required)
Phone
(Required)
Food Selection:
(Required)
Chicken
Salmon
Vegetarian
How would you prefer to pay?
(Required)
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Including yourself, how many adult tickets do you need?
Adult tickets are $36 each
Please enter a number from
1
to
5
.
Including yourself, how many adult tickets do you need?
(Required)
Please enter a number from
1
to
5
.
Guest 1 Name
(Required)
First
Last
Guest 1 Food Selection:
(Required)
Chicken
Salmon
Vegetarian
Guest 2 Name
(Required)
First
Last
Guest 2 Food Selection:
(Required)
Chicken
Salmon
Vegetarian
Guest 3 Name
(Required)
First
Last
Guest 3 Food Selection:
(Required)
Chicken
Salmon
Vegetarian
Guest 4 Name
(Required)
First
Last
Guest 4 Food Selection:
(Required)
Chicken
Salmon
Vegetarian
How many child tickets do you need?
Child tickets are $18 each
Please enter a number less than or equal to
4
.
How many child tickets do you need?
Please enter a number less than or equal to
4
.
Child 1 Name
(Required)
First
Last
Child 1 Food Selection:
(Required)
Chicken
Salmon
Vegetarian
Child 2 Name
(Required)
First
Last
Child 2 Food Selection:
(Required)
Chicken
Salmon
Vegetarian
Child 3 Name
(Required)
First
Last
Child 3 Food Selection:
(Required)
Chicken
Salmon
Vegetarian
Child 4 Name
(Required)
First
Last
Child 4 Food Selection:
(Required)
Chicken
Salmon
Vegetarian
Community Shabbat Dinner Ticket(s)
Price:
Community Shabbat Dinner Child Ticket(s)
Price:
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Price:
$0.00
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