First Shabbat Aug 2023

How many people are you registering? *

(including yourself)

Contact info

Let us know your contact info so we can stay in touch!

First Name *

Last Name *

Email Address *

Phone *

Event Fee(s) *

Suggested Donation per person - $ 18.00

Two People - $ 36.00

Sponsor - $ 72.00

Gold Sponsor - $ 180.00

Not at this time - $ 0.00

Total for this participant

Name and Address

Street Address (Home)

City (Home)

Postal Code (Home)

Country (Home)

State (Home)