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Shabbat 6pm Dinner, 6:45pm Service
Friday, May 16, 2025
•
18 Iyyar 5785
6:00 PM - 7:45 PM
UNDER THE WORD
REGISTER
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Register
Person Filling out the Form
*
First Name
*
Last Name
*
Email
One confirmation email will be sent to this email address for all of your registered attendees
ATTENDEE INFO
*
# Darchei Noam Members attending dinner
Please Select One
No Members
1 Member
2 Members
3 Members
4 Members
Ages 12+ ($20pp)
Choose from drop-down
(required)
# Non-Members attending dinner
No Non-Members
1 Non-Member
2 Non-Members
3 Non-Members
4 Non-Members
Adult 12+ ($25pp)
Choose from drop-down
# Children (Ages 3-11)
Please Select One
1 Child
2 Children
3 Children
4 Children
Ages 3-11 ($12pp)
(under 3 are free)
*
Attendee #1 First Name
*
Attendee #1 Last Name
Attendee #1 Dietary Needs (GF, DF)
Attendee #2 First Name
Attendee #2 Last Name
Attendee #2 Dietary Needs (GF, DF)
Attendee #3 First Name
Attendee #3 Last Name
Attendee #3 Dietary Needs (GF, DF)
Attendee #4 First Name
Attendee #4 Last Name
Attendee #4 Dietary Needs (GF, DF)
Non-Member Attendee First Name
Non-Member Attendee Last Name
Non-Member Dietary Needs (GF, DF)
Non-Member Attendee First Name
Non-Member Attendee Last Name
Non-Member Dietary Needs (GF, DF)
Non-Member Attendee First Name
Non-Member Attendee Last Name
Non-Member Dietary Needs (GF, DF)
Non-Member Attendee First Name
Non-Member Attendee Last Name
Non-Member Dietary Needs (GF, DF)
Child First Name
Child #1 Last Name
Child #1 Dietary Needs (GF, DF)
Child First Name
Child #1 Last Name
Child #1 Dietary Needs (GF, DF)
Child First Name
Child #1 Last Name
Child #1 Dietary Needs (GF, DF)
Child First Name
Child #1 Last Name
Child #1 Dietary Needs (GF, DF)
Payment
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Fri, May 9 2025 11 Iyyar 5785
