Shabbat AM 11/12 + Eliana Molofsky's Bat Mitzvah - Form - The Kitchen

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Shabbat AM 11/12 + Eliana Molofsky's Bat Mitzvah

Registrant Information

* First Name

* Last Name

* Email for registration confirmation

* How many people *including yourself* are you registering to attend shabbat services?

If registering more individuals than yourself, be sure to enter each registrants first & last name, and email address.

Person 1: First Name

Person 1: Last Name

Person 1: Email

I attest that I am fully vaccinated (and boosted, if applicable) against COVID-19. Type "YES" below to verify

* Please upload your proof of COVID-19 Vaccine

Person 2: First Name

Person 2: Last Name

Person 2: Email

I attest that I am fully vaccinated (and boosted, if applicable) against COVID-19. Type "YES" below to verify

* Please upload your proof of COVID-19 Vaccine

Person 3: First Name

Person 3: Last Name

Person 3: Email

I attest that I am fully vaccinated (and boosted, if applicable) against COVID-19. Type "YES" below to verify

* Please upload your proof of COVID-19 Vaccine

Person 4: First Name

Person 4: Last Name

Person 4: Email

I attest that I am fully vaccinated (and boosted, if applicable) against COVID-19. Type "YES" below to verify

* Please upload your proof of COVID-19 Vaccine

Person 5: First Name

Person 5: Last Name

Person 5: Email

I attest that I am fully vaccinated (and boosted, if applicable) against COVID-19. Type "YES" below to verify

* Please upload your proof of COVID-19 Vaccine

If you would like to make a gift to The Kitchen in honor of a simcha or in memory of a loved one, you may do so in the space below

Optional: Indicate a dedication for the donation above

Fri, September 20 2024
17 Elul 5784

Fri, September 20 2024 17 Elul 5784