Yom Ha'atzmaut Shabbat Dinner - Form - Congregation Beth Hamidrash

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Yom Ha'atzmaut Shabbat Dinner

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* First Name

* Last Name

* Phone Number

* Email

* # of adults (13+)

adults

* Please list the names of all adults attending

# of youth (ages 7-12)

youth

Please list the names of all youth attending

# of kids (ages 6 and under - no charge)

kids

Please list the names of all kids attending

Please let us know if you would like a fish only or full vegetarian meal - or if you have any significant allergies we should be aware of.

Total

Sat, April 26 2025 28 Nisan 5785

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