SHABBATON REGISTRATION FORM

This form is currently closed.

Yud Shevat Shabbaton, January 19-20, 2024
Friday night - 5:30 pm Shabbat meal, $35 per adult, $15 per child, max $100 per family
Shabbat day - 11:45 pm Kiddush Lunch, no charge
Saturday night - 7:30 pm program, $10 per adult, $5 per child, $36 max per family
Event sponsor - $180, $360, $540
Full Name*

First Name Last Name
E-mail*
Phone Number*
FRIDAY NIGHT PROGRAM - program is full
How many adults $35 ea
How many kids $15 ea
SHABBAT DAY LUNCH
How many adults No charge
How many kids No charge
MOTZEI SHABBAT PROGRAM
How many adults $10 ea
How many kids $5 ea
PAYMENT
Enter Amount to Charge*

$36$70$100

Payment

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

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Yud Shevat Shabbaton, January 19-20, 2024