Shabbat Junior - Form - Temple Bat Yahm

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Ensuring Our Future

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Shabbat Junior

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We can't wait to see you at Shabbat Junior!

This program is available in-person only, we look forward to you joining us in-person.

To keep our community safe, we ask that everyone wear a well fitting mask covering their nose and mouth.

Parent/Guardian First Name

Parent/Guardian Last Name

Email

Mobile Phone Number

* Affiliation

Temple Bat YahmBeth Jacob Congregation - IrvineChabadCongregation B'nai IsraelCongregation B'nai TzedekShir Ha-ma'alotTarbut v'TorahTemple Beth El SOCTemple Beth SholomTemple Isaiah of Newport BeachUniversity SynagogueUnaffiliatedOther

Other - Please explain

* Which Shabbat Junior are you attending?

Please Select OneBothFebruary 11th, 2022April 29th, 2022

* Child's Full Name

* Do you have an additional child to register?

How many additional children would you like to register?

* Additional Child's Full Name

* Additional Child's Full Name

* Additional Child's Full Name

Additional Adult Attending First Name

Additional Adult Last Name

Additional Adult Email Address

Additional Adult Phone Number

Additional Donation to the Youth Engagement Fund

Total

Tue, April 29 2025 1 Iyar 5785

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