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Community Hanukkah Celebration Reservation
Please complete this form so that we can anticipate the correct number of people at this event. By answering these questions, you can help us ensure that there are activities and food available for everyone.
*
1.
First Name
(Required.)
*
2.
Last Name
(Required.)
*
3.
Phone Number
(Required.)
*
4.
Email Address
(Required.)
*
5.
Total number of attendees
(Required.)
1
2
3
4
5
6
7
8
9 or more
*
6.
How many people in each age category are in your party?
(Required.)
Age Group
Young Children (3 and under)
0
1
2
3
4
5
6
7
8
Children (4-12)
0
1
2
3
4
5
6
7
8
Teens
0
1
2
3
4
5
6
7
8
Adults coming with kids
0
1
2
3
4
5
6
7
8
Adults coming without kids
0
1
2
3
4
5
6
7
8
*
7.
Do you have any food allergies or sensitivities?
(Required.)
Peanuts (Chisuk Emuna is nut free)
Tree nuts (Chisuk Emuna is nut free)
Dairy
Gluten
Red Dye
Vegan
Other (please specify)
None of the above
*
8.
How did you hear about this event? Check all that apply.
(Required.)
Gesher
Silver Academy
Beth El
Chabad-Lubavitch
Chisuk Emuna
Congregation Bnai Jacob
Kesher Israel
Ohev Shalom
Temple Beth Shalom
Other