Summer Shabbat Dinner 7-18-25

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* Family Name

* Email Address

* Cell Phone Number

Total number of Adult MEMBERS attending ($18 each):

* Adult 1 First Name

* Adult 1 Last Name

* 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

* Adult 6 First Name

* Adult 6 Last Name

* Adult 7 First Name

* Adult 7 Last Name

* Adult 8 First Name

* Adult 8 Last Name

* Adult 9 First Name

* Adult 9 Last Name

* Adult 10 First Name

* Adult 10 Last Name

Total number of Adult NON-MEMBERS attending ($25 each):

* Adult 1 First Name

* Adult 1 Last Name

* 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

* Adult 6 First Name

* Adult 6 Last Name

* Adult 7 First Name

* Adult 7 Last Name

* Adult 8 First Name

* Adult 8 Last Name

Total number of children ages 5-12 attending ($12 each):

* First Name

* Last Name

* Age

* First Name

* Last Name

* Age

* First Name

* Last Name

* Age

* First Name

* Last Name

* Age

* First Name

* Last Name

* Age

* First Name

* Last Name

* Age

* First Name

* Last Name

* First Name

* Last Name

* First Name

* Last Name

* First Name

* Last Name

Number of Children 4 and under attending (no charge):

First Name

Last Name

* Age

First Name

Last Name

* Age

First Name

Last Name

* Age

First Name

Last Name

* Age

First Name

Last Name

* Age

First Name

Last Name

* Age

First Name

Last Name

* Age

First Name

Last Name

* Age

Additional Notes (e.g. Food Allergies)

Fri, June 6 2025 10 Sivan 5785