Rockin‘ Shabbat Dinner Signup

Date of Dinner you are registering for:*
Please reserve your spot for dinner by the Wednesday prior.
Your Name*
First Last
Your Email*
Address*
Street Address Address Line 2 City State ZIP Code
Guests
Please list any others who will be attending the dinner.
Guest First Name Guest Last Name Age Meal Choice
With whom would you like to be seated?
Adult Rockin' Shabbat
Price: $18.00 Quantity:
Child ages 3-12 Rockin' Shabbat
Price: $9.00 Quantity:
Child ages 2 and under Rockin' Shabbat
Price: $0.00 Quantity:
Family Price Rockin' Shabbat
All the parents and children in a family for one price.
Price: $54.00 Quantity:
New & Prospective Members
If you are a new or prospective member, the CBJ office will contact you to confirm your reservation.
Price: $0.00 Quantity:
Total
$0.00

Guest First Name	Guest Last Name	Age	Meal Choice