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Home
Yom Ha'Atzmaut Shabbat Dinner
Please verify reCaptcha before submitting the form.
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First Name
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Last Name
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Email Address
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Phone Number
Cost is $36 per person for adults and $18 per person for ages 5-13. Those under age 5 attend free. Please select the appropriate payment choice below.
Number of adults at $36 per person
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Please list the names of attendees
Number of children (ages 5-13) at $18 per person
0
1
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9
10
Please list names of children attending
Number of children under age 5 at no charge
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Please list names of children attending
Total amount due
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?
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No
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Are you a member of another synagogue?
Yes
No
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Are you interested in learning more about future programming?
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No
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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.
Mon, July 14 2025 18 Tammuz 5785
