Newton Centre, MA Orthodox Synagogue / Shul near Boston, Massachusetts--Registration Form
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Deborah Moskowitz

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Purim Seudah Registration Form


I. This primary section is for registration of (up to) 2 parents and their children only.  In addition, any other extended family members or any family friends joining should be registered in the secondary section below.

Parent Name(s):

x $22 per adult

x $11 per child age 2-11

x $0 per child under age 2

Parents+Children maximum: $75
 

Please consider choosing one of the following:
Bronze ($118)   Silver ($180)   Gold ($360)
(any choice includes parents+children meal cost)
II. This secondary section is for registration of additional family members (grandparents, grandchildren, cousins, etc) and any additional family friends who will join.

x $22 per adult

x $11 per child age 2-11

x $0 per child under age 2

Total

Children names and ages:

Special meal requests (if any):