Event at MOSH

Spread Cream Cheese Not Hate® MOSH EVENT

Under 18 must have Parent Permission
Please Join Us!

December 15th 3:30pm-6:30pm.
Dear Participant, (Under 18 must be signd by a parent)

We are excited to invite you to participate in our program at MOSH. This program aims to educate ages 12 + about the importance of inclusivity and respect, and it will include various interactive programs focused on combatting all forms of hate and antisemitism. The goal of this experience is to strengthen our community and build empathy for others. Ages 12+ invited to attend.
Registration
Full Name*

First NameLast Name
Email*
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Your Age*
Is anyone else attending with you?*
If Yes, Please include Names and Ages of those attending with you
Generation WOWJaxTHRIVEOneJaxSpread Cream Cheese Not Hate®MOSHOther
If under 18 form must be signed by a parent. I, the undersigned, am the parent or legal guardian of the child named above. I give my permission for my child to participate in the Anti-Hate Awareness Program. I understand that the program involves discussions and activities related to hate awareness and prevention.

Clear
Photography
If under 18 form must be signed by a parent. I grant permission for photographs and videos to be taken during the program. I understand that these images may be used for promotional purposes, including but not limited to, social media, websites, and printed materials related to the Anti-Hate Awareness Program.

Clear
Emergency Contact Information needed for those under 18 attending
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Should be Empty:

Spread Cream Cheese Not Hate® MOSH EVENT

Please Join Us!

Registration

Photography

Emergency Contact Information needed for those under 18 attending