CTeen Family Shabbat Dinner - Reserve Your Spot

Reservations - CTeen Family Shabbat Dinner

Friday, August 22 at Chabad of Sarasota at 7:00 PM for a 30-minute Shabbat service followed by Shabbat dinner at 8:15 PM at the Steinmetz family home.
Name of Adult Completing Form

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent's Cell Phone Number

Phone Number
Parent's Email
example@example.com
Number of Adults Joining the Family Shabbat Dinner
Names of Adults Joining the Family Shabbat Dinner
Number of Teens Joining the Family Shabbat Dinner
Names of Teens Joining the Family Shabbat Dinner
Teen's Cell Phone Number

Phone Number
Is there another family who you'd like us to inivte?
Optional: I would like to make my teen an official CTeen Member to defray the programming costs of events held at Chabad.

Tax ID: 65-0234425 (A US tax-deductible receipt will be issued)
Please enter details of the donation/payment
Total Payment

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