Adult Purim Shpiel 2023 - Form - Temple Sharey Tefilo-Israel

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Adult Purim Shpiel 2023

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Number of adults you are registering

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

Number of Children for Babysitting - $5.00 - 10 of 25 LeftFor potty-trained children ages 5 and up.

Child 1 First Name

Child 1 Last Name

Child 1 Age

Gluten FreeDairy Free**All products will be nut free

Child 2 First Name

Child 2 Last Name

Child 2 Age

Gluten FreeDairy Free**All products will be nut free

Child 3 First Name

Child 3 Last Name

Child 3 Age

Gluten FreeDairy Free**All products will be nut free

Child 4 First Name

Child 4 Last Name

Child 4 Age

Gluten FreeDairy 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 materialsAssistive-listening devicesFood allergy *Access to quiet space or roomMagnifying Glasses

Thu, April 18 2024 10 Nisan 5784

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