Membership Kabbalat Shabbat Dinner

Friday, April 25, 2025 • 27 Nisan 5785

7:00 PM - 9:00 PM

Please use this form if you are a member of Beth David.

Beth David Members: You have the option to sign up as Individual Adults and Children
OR

as a family with a Family Ticket (includes 1 or 2 adults and children 12 years & under).

ADULT and CHILDREN'S TICKETS
(Family Tickets below)

* Total number of Adults ($15)

* First Name

* Last Name

* Email

Phone

* First Name

* Last Name

* First Name

* Last Name

* First Name

* Last Name

* First Name

* Last Name

* First Name

* Last Name

* Total number of Children ($5)

First Name

Last Name

Age

First Name

Last Name

Age

First Name

Last Name

Age

First Name

Last Name

Age

FAMILY TICKET

* I am purchasing a Family Ticket ($36)

1 or 2 adults and children 12 & under

* Number of Adults included in the Family Ticket

Please list names below.

* First Name

* Last Name

* Email

First Name

Last Name

* Number of Children included in Family Ticket

* First Name

* Last Name

* Age

* First Name

* Last Name

* Age

* First Name

* Last Name

* Age

* First Name

Last Name

Age

* First Name

* Last Name

* Age

Please list any dietary restrictions or allergies

Please consider a donation to the dinner.

Enter an amount

Please use this form if you are NOT a member of Beth David.

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Sun, April 20 2025 22 Nisan 5785

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