Trivia Night Registration - Form - Am Yisrael Conservative Congregation

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Trivia Night Registration

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* First Name

* Last Name

* Email Address:

Phone Number

Number of attendees for whom you are paying today ($30 per person, donation to the congregation)

Number of children for babysitting ($20 per child for the whole evening)

Names and ages of children for babysitting

Full name(s) of each attendee for whom you are paying today. Include everyone on your team for whom YOU are paying.

Full name(s) of anyone on your team who will be paying separately, if you know. If you don't have a team in mind, leave this blank and we will assign you.

Name Your Team

You may create a name for your team . If you leave this blank, we will name your team for you.

Total due

Thu, May 2 2024 24 Nisan 5784

4 Happ Road, Northfield, IL 60093|847-446-7215|info@amyisrael.org

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