Name

First Name

Last Name

Total Number of People I Will Be Bringing (myself included)

Please Select One of the Following

YES - I would be glad to provide something for this meal. Please contact me in advance if I can help.

NO - I would rather not provide anything for this meal, but I understand that I am still welcome and encouraged to attend and fully participate.

If you select "YES" please provide us with at least one way to contact you.

Phone

(###)

###

####

Thank you!

You are signed up!

Don’t forget to mark your calendar for Wednesday, April 16 at 5:30!

Passover Seder Sign Up Form