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Pre-Passover Family Get Together
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First Name
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Last Name
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Email Address
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Phone Number
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Number of Adults
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Please list the names of adults attending
Number of Children (Ages 0-7)
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1
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Please list names and ages of children attending.
Please indicate if any of you have dietary requirements
Vegetarian
Vegan
Gluten-free
Dairy-free
Other (please indicate below)
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Are you a member of MJC?
Yes
No
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Are you interested in learning more about future programming?
Yes
No
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Would you like to help plan and run future events?
Yes
No
PJ Library Sign-Up
MJC partners with PJ Library, a nonprofit organization that offers families FREE storybooks that celebrate Jewish values and culture. Each child in your family, from newborn to 12 years old, is eligible to receive their own age-appropriate Jewish-themed book in the mail every month.
Are you interested in signing up for PJ Library? (please make the appropriate choice below)
Yes! Please sign up my child(ren) for free Jewish-themed books from PJ Library.
Yes! We already receive PJ Library for one child, but our other child(ren) is (are) not signed up yet. Please sign up my child(ren) for their age appropriate books.
My child(ren) has (have) aged out of PJ Library
We are not interested in participating in PJ Library.
If you would like to sign up your child(ren) for PJ Library, please provide your full mailing address, phone number name(s) of child(ren) and date of birth.
Street Address
City
State
Zip Code
Child #1 First and Last Name
Date of Birth
Child #2 First and Last Name
Date of Birth
Child #3 First and Last Name
Date of Birth
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I understand that photos and/or videos may be taken by MJC at this event that may be used for promotional purposes in emails, on social media, and in print. I hereby grant permission for such use, and I hereby release the Merrick Jewish Centre, and its officers and directors, from any claims and liability that may arise from use of said photographs and/or videos. If I decide to not allow photos or videos of me or my child(ren) to be used I understand that I need to contact MJC at comms@mjc.org within 24 hours of the event ending.
I understand that photos and/or videos may be taken by MJC at this event that may be used for promotional purposes in emails, on social media, and in print. I hereby grant permission for such use, and I hereby release the Merrick Jewish Centre, and its officers and directors, from any claims and liability that may arise from use of said photographs and/or videos. If I decide to not allow photos or videos of me or my child(ren) to be used I understand that I need to contact MJC at comms@mjc.org within 24 hours of the event ending.
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By checking here, I agree to abide by all security measures put in place by MJC for the day of this program.
By checking here, I agree to abide by all security measures put in place by MJC for the day of this program.
Fri, May 9 2025 11 Iyyar 5785
