Day School Shabbat Dinner
Program Details
Friday / May 1 / 7:15 pm /
87
th
St Ballroom
$15 per Adult
$10 per Child
Information
Adult's First Name
Adult's Last Name
Adult's Email
Adult's Phone
Total Number of Adults Attending
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1
2
3
4
5
Total Number of Children Attending
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0
1
2
3
4
5
Adult 2 First Name
Adult 2 Last Name
Adult 3 First Name
Adult 3 Last Name
Adult 4 First Name
Adult 4 Last Name
Adult 5 First Name
Adult 5 Last Name
Child 1 First Name
Child 1 Last Name
Child 2 First Name
Child 2 Last Name
Child 3 First Name
Child 3 Last Name
Child 4 First Name
Child 4 Last Name
Child 5 First Name
Child 5 Last Name
Please Note any Allergies in your Family that is Attending
Disclaimer:
Photos of you may be taken during this event. Park Avenue Synagogue may use these photos in synagogue publications, flyers and on the screens in the lobby.
I have read and agree to the above statement.
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Registration Total
Amount Due
$
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