Today is January 27, 2026 ()

Family and Young Couples and Singles Shabbat Dinner, Feb. 6, 2026

Please register by Feb. 2

Family and Young Couples/Singles Shabbat DINNER Feb. 6, 2026

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Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Email*

Phone*

For how many adults is your reservation?*

For how many children (aged 18 or younger) is your reservation?*

Please tell us if there are any food allergies or other special requirements:

Please tell us how many you will be; $18 per person - children aged under 5 are free; please use next line if you are more than a family of 3

Price: $18.00

Please tell us how many families you are registering and paying for; $50 max per family

Price: $50.00

Would you like to add an amount to cover the credit card convenience fee?

Yes - let me add a 2.5% contribution

Additional contribution to cover the credit card convenience fee

Price: $0.00

Total

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Card Number Expiration Date Security Code Cardholder Name

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