Pop Up Event Registration Form

Pop Up Event Registration
Date

March 29, 2020

Time

4:00 pm - 6:00 pm

Address

Grace Church Van Vorst

39 Erie Street

Jersey City, NJ 07302

Price

$5 donation to cover food per person
Chaperone Name

First NameLast Name
E-mail
Phone Number

Area CodePhone Number
Home Congregation
Participant 1

First NameLast Name
Participant 2

First NameLast Name
Participant 3

First NameLast Name
Participant 4

First NameLast Name
Participant 5

First NameLast Name
Participant 6

First NameLast Name
Participant 7

First NameLast Name
Participant 8

First NameLast Name
Participant 9

First NameLast Name
Participant 10

First NameLast Name
Should be Empty: