Center City Chanukah Celebration Onsite Registration – Jewish Federation of Greater Philadelphia

"*" indicates required fields

Registration

First Adult Name*

First Last

First Adult Email*

First Adult Cell Phone*

First Adult Home Address*

Address Line 1 Address Line 2 City State ZIP Code

Check this box if registering a second adult

If more adults are attending, please complete a new form.

Second Adult Name*

First Last

Second Adult Email*

Second Adult Cell Phone*

Second Adult Home Address*

Same as previous

How many children (under age 18) will be joining you? Write "0" if this does not apply to you.*

Please enter a number greater than or equal to 0.

IN LIEU OF A SIGNATURE, PLEASE ENTER YOUR FULL NAME AND THE NAME(S) OF ANY MINOR CHILD(REN) ATTENDING THIS EVENT OF WHOM YOU ARE THE PARENT AND/OR LEGAL GUARDIAN.*

What synagogue/Jewish organizations are you connected to? (Write N/A if this does not apply to you)*

As a supporter of the Jewish Federation, please keep me updated using the information provided above to reach me through:

Digital/email

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