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Shabbat Project Dinner 2019
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First Name
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Last Name
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Email Address
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Are you hosting a first time Shabbos Observer?
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No
Number of Adult Hosts
Please Select One
1
2
0
Number of First Time Observers
0
1
2
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4
5
6
7
8
9
10
Number of Additional Family Members over 12
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1
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5
6
7
8
9
10
0
Number of Children 3-11
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1
2
3
4
5
6
7
8
9
10
0
Number of Children 3 and Under
0
1
2
3
4
5
6
7
8
9
10
Number of Adult/Children 12+
Please Select One
1
2
3
4
5
6
7
8
9
10
0
Number of Children 3-11
Please Select One
1
2
3
4
5
6
7
8
9
10
0
Number of Children 3 and Under
0
1
2
3
4
5
6
7
8
9
10
Number of Additional Guests: Adult/Children 12+
0
1
2
3
4
5
6
7
8
9
10
Number of Additional Guests: Children 3-11
0
1
2
3
4
5
6
7
8
9
10
Number of Additional Guests: Under 3
0
1
2
3
4
5
6
7
8
9
10
Number of Guests: Adult/Children 12+
0
1
2
3
4
5
6
7
8
9
10
Number of Guests: Children 3-11
0
1
2
3
4
5
6
7
8
9
10
Number of Guests: Under 3
0
1
2
3
4
5
6
7
8
9
10
Total
Sat, May 3 2025 5 Iyyar 5785
