January 24 dinner for Sixth grade families

The cost of dinner is $15 for adults (age 13 and up) and $10 for children. Contact Stephanie Ben Simon if you have any questions.


Please enter the FULL name (first and last) for everyone attending the dinner (including yourself) on each line below:
Total Registration

Final Total

Credit/Debit Card
Enter only numbers for the Credit Card Number and Verification Code. This means no spaces, dashes, commas or other text characters.

Billing Address