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 Home Work Cell 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 MC Visa Amex Amount to charge $ Card Number Expiration Date 01 02 03 04 05 06 07 08 09 10 11 12 2022 2023 2024 2025 2026 2027 2028 If you would like to volunteer, please let us know how we can contact you Special Requests or comments Event: This page uses 128 bit SSL encryption to keep your data secure.