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Shabbat Registration Form
Contact Information
Name
*
First Name
Last Name
Email
*
Verify Email
*
Phone
*
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
The Shabbat I am making a reservation for is:
*
March 27, 2020
April 10, 2020 (Passover)
April 24, 2020 (Senior Shabbat)
I am a
*
Undergraduate Student
Graduate Student
Faculty/Staff
Alumnus
Community Member
Parent
Grandparent
Graduation Year
Additional Guests
select one
0
1
2
3
4
5
List any dietary restrictions for you or your guests.
List names and emails of all guests (student and non-student)
Voluntary Donation (Suggested donation per meal per non-student is $15)
$
Add 3% to my total amount to help cover the payment processing fees