High Holidays Registration - Form - Chabad Israeli Center Atlanta

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High Holidays Registration

Registration Form for the High Holidays

* First Name

* Last Name

* Email

Mobile

Address

City

State

Zip Code

Registration for Rosh-Hashanah & Yom Kippur

* Will you attend the Rosh Hashanah?

* Will you attend the Yom Kippur?

* Will you need Reserved Chairs?

* Reserved Chairs will include your name on the number of chairs you need

* Select who will attend the High Holidays?

* Select who will attend the High Holidays?

* The Family option cost $100 and includes two Reserved Chairs
* Additional Reserved Chairs cost $50 / per chair

* Select the Number of Chairs which are Not Reserved

* Select the Number of Chairs to Reserve

$50 / Per Reserved Chair

Select the Number of Chairs to Reserve

* Specify here if you need additional Reserved Chairs
* Additional chairs cost $50 / Per Reserved Chair

Will the Children attend the children program?

* Select the Number of Children attending the Children Program

Registration for the Children Program

* Full Name

* Select the Child Age

Does the child have food Allergy? If yes, please provide details.

* Full Name

* Select the Child Age

Does the child have food Allergy? If yes, please provide details.

* Full Name

* Select the Child Age

Does the child have food Allergy? If yes, please provide details.

* Full Name

* Select the Child Age

Does the child have food Allergy? If yes, please provide details.

* Full Name

* Select the Child Age

Does the child have food Allergy? If yes, please provide details.

* Full Name

* Select the Child Age

Does the child have food Allergy? If yes, please provide details.

* Full Name

* Select the Child Age

Does the child have food Allergy? If yes, please provide details.

* Full Name

* Selectthe Child Age

Does the child have food Allergy? If yes, please provide details.

Sponsorship Options

Children Program - $36Security - $180Facility - $180

Total

Fri, May 9 2025 11 Iyyar 5785

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