Family Shabbat Form

Address*

How Many Adults*
How Many Children*
1st Child name

First Name DOB
2nd Child name

First Name DOB
3th Child name

First Name DOB
4th Child name

First Name DOB
I will be joining...

Family Shabbat & Birthday Celebration - First Fridays of the Month at 5:30pm
Date of Attendance*

Month Day Year
Should be Empty:

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