Elul Program featuring Former Israeli PM Naftali Bennett in Conversation with Rabbi Adam Kligfeld

Because of the heightened security for this program, we will need accurate information from you in each category to be able to submit.
You will need to bring a government ID to be checked at the door.
Location will be sent the week of the program but will take place in the Pico-Robertson area and parking will be limited (and handicap will get first priority), so please plan to park in the neighborhood, to carpool, take a rideshare or walk.

All fields must be filled out with accurate information according to your legal ID and the organization you belong to or heard about this program from. Without accurate information your registration will not be cleared by security and the form will be invalid.

* How Many Attending?

* Legal First Name:

* Legal Last Name:

* Email Address:

* Phone Number:

* Home Address on your ID:

Legal First Name 2:

Legal Last Name 2:

Email Address 2:

Phone Number 2:

Home Address on ID of Person 2 (if different)

Legal First Name 3:

Legal Last Name 3:

Email Address 3:

Phone Number 3:

Home Address on ID of Person 3 (if different)

Legal First Name 4:

Legal Last Name 4:

Email Address 4:

Phone Number 4:

Home Address on ID of Person 4 (if different)

* Which synagogue/organization are you affiliated with?
If not applicable, please share how you learned about this event.
Answers such as: "NA" or "none" or "self-employed" or "friends," etc are not acceptable.

Total:

Wed, September 18 2024 15 Elul 5784