Congregational Bingo Night 7/14/22 - Form - Temple Sharey Tefilo-Israel

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Congregational Bingo Night 7/14/22

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Bingo Bash (All Ages)

Number Adults Registering

Number Children Registering

* First Name

* Last Name

* Email

Cell Phone

First Name

Last Name

Email

Cell Phone

First Name

Last Name

Email

Cell Phone

First Name

Last Name

Email

Cell Phone

Child(ren)

Child 1 First Name

Child1 Last Name

Child 1 Food Allergies

GlutenDairyPeanuts/Tree NutsOtherCheck All That Apply

Other Food Allergies

Child 2 First Name

Child 2 Last Name

Child 2 Food Allergies

GlutenDairyPeanuts/Tree NutsOtherCheck All That Apply

Other Food Allergies

Child 3 First Name

Child 3 Last Name

Child 3 Food Allergies

GlutenDairyPeanuts/Tree NutsOtherCheck All That Apply

Other Food Allergies

Child 4 First Name

Child 4 Last Name

Child 4 Food Allergies

GlutenDairyPeanuts/Tree NutsOtherCheck All That Apply

Other Food Allergies

Masks Required Inside
Optional Outside

Fri, May 3 2024 25 Nisan 5784

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