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August 23
6:00 PM

First Name

Last Name

Email

Phone Number

* # of Adults Attending ($25 per adult)

# of Children ages 13-18 ($18 per child)

# of Children 12 and under ($10 per child)

Names of Adult Attendees:

Please enter first name followed by last name

Names of Children Attendees:

Please enter first name followed by last name

* Total Number of Meat Meals

* Total Number of Vegetarian Meals

Please list dietary restrictions/allergies

Total

Wed, October 15 2025 23 Tishrei 5786

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