Participant #1
*
Last Name
First Name
Participant #1 Email Address
*
example@example.com
Participant #1 Phone Number
*
Please enter a valid phone number.
Participant #2 (if applicable)
Last Name
First Name
Participant #2 Email Address
example@example.com
Participant #2 Phone Number
Please enter a valid phone number.
Vegetarian plate? (This consists of us serving the planned menu without beef, chicken, or fish on the plate.) Click all that apply.
No thanks! I (we) eat meat!
1 participant — 100% Vegetarian
2 participants — 100% Vegetarian
I (we) eat fish but no chicken or beef.
1 Veggie/1 Meat-eater
OCTOBER — Check Appropriate Boxes
*
EXERCISE
PROGRAM
LUNCH
NOT ATTENDING
TUESDAY, OCT 3
THURSDAY, OCT 5
TUESDAY, OCT 10
THURSDAY, OCT 12
TUESDAY, OCT 17
THURSDAY, OCT 19
TUESDAY, OCT 24
THURSDAY, OCT 26
TUESDAY, OCT 31
NOVEMBER — Check Appropriate Boxes
*
EXERCISE
PROGRAM
LUNCH
NOT ATTENDING
THURSDAY, NOV 2
TUESDAY, NOV 7
THURSDAY, NOV 9
TUESDAY, NOV 14
THURSDAY, NOV 16
TUESDAY, NOV 21
TUESDAY, NOV 28
THURSDAY, NOV 30
DECEMBER — Check Appropriate Boxes
*
EXERCISE
PROGRAM
LUNCH
NOT ATTENDING
TUESDAY, DEC 5
THURSDAY, DEC 7
TUESDAY, DEC 12
THURSDAY, DEC 14
TUESDAY, DEC 19
THURSDAY, DEC 21
JANUARY — Check Appropriate Boxes
*
EXERCISE
PROGRAM
LUNCH
NOT ATTENDING
TUESDAY, JAN 2
THURSDAY, JAN 4
TUESDAY, JAN 9
THURSDAY, JAN 11
TUESDAY, JAN 16
THURSDAY, JAN 18
TUESDAY, JAN 23
THURSDAY, JAN 25
TUESDAY, JAN 30
FEBRUARY — Check Appropriate Boxes
*
EXERCISE
PROGRAM
LUNCH
NOT ATTENDING
THURSDAY, FEB 1
TUESDAY, FEB 6
THURSDAY, FEB 8
TUESDAY, FEB 13
THURSDAY, FEB 15
TUESDAY, FEB 20
THURSDAY, FEB 22
TUESDAY, FEB 27
THURSDAY, FEB 29
Do you plan to attend the Purim Ball on Tuesday, March 26?
I'M COMING!
BUMMER. CAN'T MAKE IT
PURIM BALL ON TUES, MARCH 26
MARCH — Check Appropriate Boxes
*
EXERCISE
PROGRAM
LUNCH
NOT ATTENDING
TUESDAY, MAR 5
THURSDAY, MAR 7
TUESDAY, MAR 12
THURSDAY, MAR 14
TUESDAY, MAR 19
THURSDAY, MAR 21
PURIM BALL!
TUESDAY, MAR 26
THURSDAY, MAR 28
APRIL — Check Appropriate Boxes
*
EXERCISE
PROGRAM
LUNCH
NOT ATTENDING
TUESDAY, APR 2
THURSDAY, APR 4
TUESDAY, APR 9
THURSDAY, APR 11
PASSOVER SEDER!
TUESDAY, APR 16
THURSDAY, APR 18
MAY — Check Appropriate Boxes
*
EXERCISE
PROGRAM
LUNCH
NOT ATTENDING
THURSDAY, MAY 2
TUESDAY, MAY 7
THURSDAY, MAY 9
TUESDAY, MAY 14
THURSDAY, MAY 16
TUESDAY, MAY 21
THURSDAY, MAY 23
TUESDAY, MAY 28
THURSDAY, MAY 30
JUNE — Check Appropriate Boxes
*
EXERCISE
PROGRAM
LUNCH
NOT ATTENDING
TUESDAY, JUN 4
THURSDAY, JUN 6
TUESDAY, JUN 11
TUESDAY, JUN 18
THURSDAY, JUN 20
TUESDAY, JUN 25
THURSDAY, JUN 27
JULY — Check Appropriate Boxes
*
EXERCISE
PROGRAM
LUNCH
NOT ATTENDING
TUESDAY, JUL 2
TUESDAY, JUL 9
THURSDAY, JUL 11
TUESDAY, JUL 16
THURSDAY, JUL 18
TUESDAY, JUL 23
THURSDAY, JUL 25
TUESDAY, JUL 30
AUGUST — Check Appropriate Boxes
EXERCISE
PROGRAM
LUNCH
NOT ATTENDING
THURSDAY, AUG 1
TUESDAY, AUG 6
THURSDAY, AUG 8
TUESDAY, AUG 13
THURSDAY, AUG 15
TUESDAY, AUG 20
THURSDAY, AUG 22
SEPTEMBER — Check Appropriate Boxes
EXERCISE
PROGRAM
LUNCH
NOT ATTENDING
TUESDAY, SEP 3
THURSDAY, SEP 5
TUESDAY, SEP 10
THURSDAY, SEP 12
TUESDAY, SEP17
THURSDAY, SEP 19
TUESDAY, SEP 24
THURSDAY, SEP 26
BERGEN COUNTY ANNUAL SENIOR FESTIVAL at VAN SAUN PARK – Please check ALL that apply.
YES! I will attend on Thursday, September 12
YES! Please include me for a KOSHER BOX LUNCH on September 12
NO, I WILL NOT be able to attend the Seniors Festival on SEPTEMBER 12
YES! If postponed, I will attend on the rain date, Tuesday, September 17
YES! Please include me for a KOSHER BOX LUNCH on the rain date, September 17
NO, I WILL NOT be able to attend the Seniors Festival on SEPTEMBER 17
Submit
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