Purim in the Shtetl

Purim in the Shtetl Registration form
Lubavitch BC Purim in the Shtetl
Thursday, March 17th, 2022
5750 Oak St
Megilah readings:
4:30 PM & 6:30 PM
Meat Dinner
First Seating 5:00 PM
Second Seating 7:00 PM
Full Name*
First NameLast Name
E-mail*
Are you currently registered in BC Regional Hebrew Schools?*
YesNo
Which Seating will you be attending?*
First Seating (5:00 PMSecond Seating (7:00 PM)
Number of adults attending?
Number of children 5+ attending?
Number of adults attending
Number of children 5+ attending
Number of children under 5? (free)
Sponsor a family (tax receipt will be issued)
$50$72$108
Notes
Total
$0.00

Payment

Credit Card

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

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Purim in the Shtetl Registration form