JEP Chanukah Dinner 2024
Women and girls of all ages are invited to our Chanukah Dinner!
Name
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First Name
Last Name
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Address
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Street Address
Street Address Line 2
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How many adults will participate?
*
Please Select
1
2
3
4
How many children will participate?
Please Select
1
2
3
4
5
Adult 1
*
First Name
Last Name
Adult 2
*
First Name
Last Name
Adult 3
*
First Name
Last Name
Adult 4
*
First Name
Last Name
Child 1
*
First Name
Last Name
Age of Child 1
*
Child 2
*
First Name
Last Name
Age of Child 2
*
Child 3
*
First Name
Last Name
Age of Child 3
*
Child 4
*
First Name
Last Name
Age of Child 4
*
Child 5
*
First Name
Last Name
Age of Child 5
*
Requests/Questions/Additional Information (If you would like to request to be placed at a table with a specific family, please indicate that here.)
How did you hear about the Chanukah Dinner?
*
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Facebook
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Email
Friend
Other
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First Name
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Other
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JEP relies on donations to operate our many programs and events. Would you like to make a donation today to help support JEP?
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Please Select
Donate $18
Donate $36
Donate $54
Donate $72
Donate $100
Donate $150
Donate $180
Other
Not today
Other
*
Would you like to purchase a JEP sweatshirt
*
Please Select
Yes - Black Pullover ($30)
Yes - Gray Zip Up ($30)
Not today
How many sweatshirt would you like to buy?
*
Please Select
One
Two
Three
Four
Please list sweatshirt size(s):
*
Youth M, Youth L, Adult S, Adult M, Adult L, Adult XL
I hereby give consent for my family to participate in this JEP event. I understand that JEP takes photos and videos during events and posts them to the JEP website and social media and give permission for my child’s photos to be included in promotional materials. I understand that if my child has a medical need, JEP will make a conscientious effort to notify my spouse or me. In the event that this is not possible, I give permission for JEP Girls of Maryland and its staff, or person designated, to make available to my child professional emergency medical care when such care is indicated. I give permission for my child to receive proper medical care by any doctor, nurse, paramedic, or member of a medical staff of a hospital.
*
By checking this box and printing my name below, I am giving my consent.
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