Family Name

Child/Children's Name

CELC Child/Children's Class(es)

Other Child/Children's Ages

Email address

Address

City State Zip

Phone Phone Type

Payment
We encourage ALL families to join us. Please contact Rabbi Ossey at [email protected] for confidential financial assistance.

Adults at $60 each  
Children at $20 each (18 months and up)
Family at $175
 Children under 18 months - free 

Sponsorships
The Family Shabbat Dinner is made possible through the generous sponsorship of our parent body. Please consider one of the many contribution opportunities. 

YES! I would like to be a Morah Sponsor by helping to cover the cost of having our Morahs for Shabbat at $60 per Morah
Number of Morahs sponsored at $60 per Morah =

YES! I would like to be a Shabbat Spark to help defray the cost of the overall event for $180

YES! I would like to be a Shabbat Angel to help defray the cost of the overall event for $360

YES! I would like to sponsor another amount =

(If you would like to pay by check, please stop into the office to fill out a hard-copy form)

First Name Last Name

Card Type  Amount to charge $

Card Number

Expiration Date

If you would like to volunteer, please let us know how we can contact you

Special Requests or comments

Event: