Flashes of Grace Event Registration
Register for Jason Ruvelson’s art talk and photography exhibit at Congregation Beth Israel. Sunday, October 4th, 2–4 p.m. in the Social Hall. Artist talk, circus performers, and a reception. Families with older children welcome.
Attendee Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Are you a CBI Member?
Yes
No
I am bringing:
1 guest
2 guests
3 guests
Guest 1 Name
*
First Name
Last Name
Guest 1 Email Address
*
example@example.com
Guest 1 Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Are you a CBI Member?
Yes
No
Guest 2 Name
*
First Name
Last Name
Guest 2 Email Address
*
example@example.com
Guest 2 Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Are you a CBI Member?
Yes
No
Guest 3 Name
*
First Name
Last Name
Guest 3 Email Address
*
example@example.com
Guest 3 Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Are you a CBI Member?
Yes
No
Would you like to make an optional donation to support programming at CBI??
Yes
No
Enter donation amount.
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