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)

March 21, 2025

April 4, 2025

May 2, 2025

Please indicate grade level(s)(Required)

Grade level determines dinner location

Grades 6-8

Grades 9-12

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