Shabbat Around The World Registration (September 2023) - Form - Congregation Beth Shalom

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Shabbat Around The World Registration (September 2023)

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Registrant Information

* First Name

* Last Name

* Email Address

* Phone Number

Guest Registration

* Total number of registrants aged 11 and older (including yourself) that will be attending - $20 per person

Please Select One123456

Total number of registrants aged 10 and younger that will be attending - $15 per person

Please Select One123456

Adult (11 and older) 1 First Name

Adult (11 and older) 1 Last Name

Please indicate any dietary restrictions

Gluten-FreeVegetarian

* CLICK HERE to attend Shabbat Around the World- $20 per person

Adult (11 and older) 2 First Name

Adult (11 and older) 2 Last Name

Please indicate any dietary restrictions

Gluten-FreeVegetarian

* CLICK HERE to attend Shabbat Around the World- $20 per person

Adult (11 and older) 3 First Name

Adult (11 and older) 3 Last Name

Please indicate any dietary restrictions

Gluten-FreeVegetarian

* CLICK HERE to attend Shabbat Around the World- $20 per person

Adult (11 and older) 4 First Name

Adult (11 and older) 4 Last Name

Please indicate any dietary restrictions

Gluten-FreeVegetarian

* CLICK HERE to attend Shabbat Around the World- $20 per person

Adult (11 and older) 5 First Name

Adult (11 and older) 5 Last Name

Please indicate any dietary restrictions

Gluten-FreeVegetarian

* CLICK HERE to attend Shabbat Around the World- $20 per person

Adult (11 and older) 6 First Name

Adult (11 and older) 6 Last Name

Indicate any dietary restrictions

Gluten-FreeVegetarian

* CLICK HERE to attend Shabbat Around the World- $20 per person

Child 1 First Name

Child 1 Last Name

Please indicate any dietary restrictions

Gluten-FreeVegetarian

* CLICK HERE to attend Shabbat Around the World (CHILD PRICE)- $15 per person

Child 2 First Name

Child 2 Last Name

Please indicate any dietary restrictions

Gluten-FreeVegetarian

* CLICK HERE to attend Shabbat Around the World (CHILD PRICE)- $15 per person

Child 3 First Name

Child 3 Last Name

Please indicate any dietary restrictions

Gluten-FreeVegetarian

* CLICK HERE to attend Shabbat Around the World (CHILD PRICE)- $15 per person

Child 4 First Name

Child 4 Last Name

Please indicate any dietary restrictions

Gluten-FreeVegetarian

* CLICK HERE to attend Shabbat Around the World (CHILD PRICE)- $15 per person

Child 5 First Name

Child 5 Last Name

Please indicate any dietary restrictions

Gluten-FreeVegetarian

* CLICK HERE to attend Shabbat Around the World (CHILD PRICE)- $15 per person

Child 6 First Name

Child 6 Last Name

Please indicate any dietary restrictions

Gluten-FreeVegetarian

* CLICK HERE to attend Shabbat Around the World (CHILD PRICE)- $15 per person

Total Amount

Mon, May 6 2024 28 Nisan 5784

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