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Adult Purim Shpiel 2023
Please verify reCaptcha before submitting the form.
Number of adults you are registering
1
2
3
4
Attendee 1 First Name
Attendee 1 Last Name
Attendee 1 Email
Attendee 1 Cell Phone
Attendee 2 First Name
Attendee 2 Last Name
Email
Attendee 2 Cell Phone
Attendee 3 First Name
Attendee 3 Last Name
Attendee 3 Email
Attendee 3 Cell Phone
Attendee 4 First Name
Attendee 4 Last Name
Attendee 4 Email
Attendee 4 Cell Phone
0
1
2
3
4
5
6
7
8
9
10
Number of Children for Babysitting - $5.00 - 10 of 25 Left
For potty-trained children ages 5 and up.
Child 1 First Name
Child 1 Last Name
Child 1 Age
Gluten Free
Dairy Free
**All products will be nut free
Child 2 First Name
Child 2 Last Name
Child 2 Age
Gluten Free
Dairy Free
**All products will be nut free
Child 3 First Name
Child 3 Last Name
Child 3 Age
Gluten Free
Dairy Free
**All products will be nut free
Child 4 First Name
Child 4 Last Name
Child 4 Age
Gluten Free
Dairy Free
**All products will be nut free
Total
Special Accommodations
(Check All That Apply)
The TSTI Community is committed to helping everyone feel welcome and comfortable at every event. If you would like to request an accommodation, please select from the list current accommodations available below. If you have a request that you don’t see in the list, please email Beth Blackman
(bblackman@tstinj.org
)
or Karen Patton
(kpatton@tstinj.org).
*Note that an asterisk denotes that we require at least 48 hours of advanced notice.
Assistance in getting from vehicle to building *
Wheelchair *
Wagon *
Courtesy seating *
Access to chair lift between buildings
Large print materials
Assistive-listening devices
Food allergy *
Access to quiet space or room
Magnifying Glasses
Sat, November 23 2024 22 Cheshvan 5785
