Chabad Program Registration Form

To register multiple people, please fill out the form multiple times.
Full Name*
First NameLast Name
Email*
Cell Number*
Area CodePhone Number
Are you Jewish?
Yes! I'm a Jew and I'm proud and I'll sing it out loud....No, but I want to learn more!It's complicated......😊
Program Name*Which program are you registering for?
GROUND BREAKING CELEBRATIONRosh Hashana Dinner $54Loaves of Love Challah Workshop $36Shofar Factory $18I'd like to help sponsor an event Silver $180I'd like to help sponsor an event Gold $360I'd like to help sponsor an event Diamond $540Community Friday Night Dinner Adult $36Community Friday Night Dinner Child (under 12) $18Pickleball Club
Address, City, State, Zip

Payment

Credit Card Paypal

Postal / Zip Code

Country

Special Instructions or questions
Total
$0.00
Yes, I'd like to donate the cost of processing this transaction by adding 2.75%
To register multiple people, please fill out the form multiple times.
I would like to receive news and updates by email
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To register multiple people, please fill out the form multiple times.