February Family Shabbat Dinner | Oregon NCSY

Feb Family Shabbat Dinner

"*" indicates required fields

Parent Name*

First Last

Parent Email*

Parent Phone Number*

Number of Adults attending*

Please enter a number from 1 to 2.

Parent Two

Name

First Last

Email*

Phone*

Number of children attending*

Please enter a number from 1 to 4.

Child one

Name*

First Last

Grade*

School Name*

Child Two

Name*

First Last

Grade*

School Name*

Child Three

Name*

First Last

Grade*

School Name*

Child Four

Name*

First Last

Grade*

School Name*

Do you have any dietary restrictions? Please list them here.