Havdalah For Little Ones

Welcome to the Adath Israel Young Family Havdalah registration form. Please complete the form below. We look forward to welcoming you to 37 Southbourne.

Name*

First NameLast Name

Saturday November 11Saturday December 16Saturday February 10

Number of Children (Age 0 to 12)*

Number of Adults (18+)*

E-mail*

Please confirm E-Mail.*

example@example.com

Mobile Number (Optional)

Area CodePhone Number

How did you hear about this program:

Any allergies or additional notes?

Thank you for registering.

You will be sent an email confirmation of your registration for our Havdalah Program.

Please encourage friends and relatives to register as well.

We look forward to seeing you at Adath Israel!

Anna Gindin, Program Director, Adath Israel