Adath Israel drop-off pizza lunch and workshop

* First Name of child 1 participating

* Last Name of child 1 participating

* Grade of child 1

(If attending Hebrew School at Adath Israel, please list the grade at Hebrew School)

First Name of child 2 participating

Last Name of child 2 participating

Grade of child 2

(If attending Hebrew School at Adath Israel, please list the grade at Hebrew School)

First Name of child 3 participating

Last Name of child 3 participating

Grade of child 3

(If attending Hebrew School at Adath Israel, please list the grade at Hebrew School)

Parent's information and emergency contact

In case of an emergency, we will be contacting the person listed below.

* Parent's first name

* Parent's last name

* Parent's email address

* Parent's phone number

Address

City

Postal Code

Olive Press workshop on Sunday December 11

# of children member

# of non-member children

# of Hebrew School children

Please let us know how many children you are signing up by indicating whether you/they are members, non-members, or hebrew school family.

Torah workshop on Sunday January 29th

# of children member

# of non-member children

# of Hebrew School children
Program cost:

$10/child member or Hebrew School family
$15/child non-member

This fee goes towards covering the cost of the Pizza lunch and workshop

Total Cost

Thu, 23 March 2023 1 Nisan 5783