JR NCSY Shabbat Dinner | Oregon NCSY

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Jr NCSY Shabbat Dinner

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.