First Fridays Potluck and Pizza Registration - Form - Temple Shalom

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First Fridays Potluck and Pizza Registration

Please verify reCaptcha before submitting the form.

* First Name

* Last Name

* Email

* How many people in your household are you registering for, including yourself?

Suggested donation for pizza option is $15 per family, but any donations above that will be greatly appreciated. Please enter dollar amount below.

Will you require any accommodations in order to participate? (Please note that ASL interpreters require at least 14 days' notice.)

*Accommodation = any alteration of environment or resources that allows an individual to participate and enjoy an event at the same level as their peers. Please email kheinzer@templeshalom.net if you have any accessibility questions or concerns.

Sat, July 27 2024 21 Tammuz 5784

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