Teen Shabbat Dinner Registration

Your Name(Required)

First Last

Email(Required)

Phone(Required)

Teen's Name(s) and Grade(s)(Required)

First Name

Last Name

Grade

Teen's Email (if applicable)

Teen's Phone (if applicable)

Are there any dietary restrictions?(Required)

Please enter N/A if Not Applicable

Which date(s) do you plan to attend?(Required)

February 6, 2026

March 7, 2026

May 1, 2026

June 6, 2026

Please indicate grade level(s)(Required)

Grade level determines dinner location

Grades 6-8

Grades 9-12

Have you paid TE Youth Dept dues for 2025-26?(Required)

Yes

Teen Shabbat Dinner Tickets (Required)

Price: $18.00

Convenience Fee(Required)

Price: $0.00

Total

Payment Method

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Community