Chanukah YJP Registration Form 2020

Chanukah Party Sign Up

Outdoors. Socially distanced. Wear a mask.
Full Name *

First Name Last Name
E-mail: *
Cell Number *

Area Code Phone Number
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Comments (allergies, questions, concerns...)
Number attending *
How did you hear about us? friend, Facebook, newspaper, web, direct email or other please specify! *
HOW????

Event $10 by 12/3 $15 after Sponsor $180 (Includes 2 Tickets)

USD Enter payment amount

Chanukah Party Sign Up