I/We plan to attend the following sessions:
*
Fri Jul 7
Fri Jul 14
Fri Jul 21
Fri Jul 28
Fri Aug 4
Fri Aug 11
Fri Aug 18
Name
*
Total # of Adults Attending
*
Name(s) and Age(s) of Child(ren) Attending
*
Email
*
Phone Number
*
Address
*
----------------------
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
AA
AE
AP
Would you like to make a donation to support Shalom Baby?
*
(Choose One)
Yes
No
How did you learn about this event?
Facebook
Instagram
Synagogue
Friend
Email
Shalom New Haven
Other
Do you have any food allergies? If so, please list them here
*
Is there anything we can do to make this event more accessible for you?
*
(Choose One)
Yes
No
Submit
Event Registration Software by RegFox