CELEBRATE SHABBAT! REGISTRATION First Name Last Name Address City, State, Zip Phone Number Email Address $20 per person ages 4 and up Number of people attending: Adults 0 1 2 3 4 5 Children 0 1 2 3 4 5 Age of child/ren *Help sponsor a Shabbat* You can sponsor a Shabbat celebration in honor of your child's birthday, any special occasion or just because you'd like to spread the joy of Shabbat! If you are sponsoring in honor of an occasion, please note in the comments box and we will contact you to discuss. Thank you. Please charge my credit card: $ Visa Mastercard Amex Discover Card #: Exp. CVV Code: CC Billing Address City, State, Zip Comments: This page uses 128 bit SSL encryption to keep your data secure.