YF Hanukkah program with Beit Ivrit

* Parent/Guardian First Name

* Parent/Guardian Last Name

* Email Address

* How many kids will be attending?

* What are their names and ages?

* How many adults will be attending?

* What are their names?

* Please indicate any dietary restrictions
   No Dietary Restrictions
   Dairy Free
   Gluten Free

Photo Permission
We would like to keep our Temple community informed of the wonderful programming taking place. To this end, we would like to, at times, publish photographs of participants in the Temple newsletter, on the Temple website or in our social media feeds. (Names will not be included)

* Do you grant permission for a video/photo/image that includes your child(ren) without any other personal identifiers to be published on Temple Har Zion’s website, newsletter, bulletin, Facebook page, or other social media outlets and publications?
Please Select OneYes, I grant permissionNo, I do not grant permission

* Are you interested in learning more about Temple Har Zion?
Please Select OneYesNo

* Are you looking for supplementary religious/Hebrew school for your children?
Please Select OneYesNo

* Would you like to receive our Thursday eBlast?
Please Select OneYesNo

* Are you a PJ Library subscriber?
Please Select OneYesNo

Tuesday, December 12, 2023 • 29 Kislev 5784

Register