Text & Texture Ceramics Open Studio - Series 1
October 30, November 6, 13 & 20 | 12:00-3:30pm
$75.00 materials fee

Our open ceramics studio is a space to connect and create in a relaxed and supportive atmosphere. We'll use Jewish texts, holidays and customs as inspiration for our work, enjoy tea and snacks (on our handmade dishes of course!) and learn a wide variety of clay hand building skills as well as decorative and finishing techniques. Whether you're a beginner or have experience with clay, all skill levels are welcome. Feel free to utilize the full 3 and a half hours of our studio time, or join for a section of that time frame that best suits your schedule.

REGISTRATION

Are you a TBE Member?

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Number of adults attending:

Number of adult members attending:

Number of adult non-members attending:

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Last Name

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Primary Email

First Name

Last Name

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Primary Email

CUSTOM QUESTIONS

Are you age 65 or older?

Yes

How will you be attending?

In PersonOnline

Will you be taking the bus?

Yes

I would be interested in carpooling with TBE

Yes

TOT SHABBAT DATES

We would like to register for the following dinners:
You can always come back to this form and register for additional dinners in the future!

Month X1, 202X: 5:30pmMonth X2, 202X: 5:30pmMonth X3, 202X: 5:30pmMonth X4, 202X: 5:30pmMonth X5, 202X: 5:30pmMonth X6, 202X: 5:30pmMonth X7, 202X: 5:30pmMonth X8, 202X: 5:30pm

NUMBER OF CHILDREN ATTENDING

Number of youth members attending:

Number of youth non-members attending:

Number of children attending:

First Name (Child #1)

Last Name (Child #1)

Grade (Child #1)

Age (Child #1)

First Name (Child #2)

Last Name (Child #2)

Grade (Child #2)

Age (Child #2)

First Name (Child #3)

Last Name (Child #3)

Grade (Child #3)

Age (Child #3)

First Name (Child #4)

Last Name (Child #4)

Grade (Child #4)

Age (Child #4)

First Name (Child #5)

Last Name (Child #5)

Grade (Child #5)

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First Name (Child #6)

Last Name (Child #6)

Grade (Child #6)

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First Name (Child #7)

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Grade (Child #7)

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First Name (Child #8)

Last Name (Child #8)

Grade (Child #8)

Age (Child #8)

First Name (Child #9)

Last Name (Child #9)

Grade (Child #9)

Age (Child #9)

SESSION CHOICES

Members

FallWinter Spring ISpring II

Non Members

FallWinter Spring ISpring II

PHOTO & VIDEO PERMISSIONS

I grant my permission to use any and all written comments, pictures, or video in which my child or I may appear for print, audio, visual, and/or electronic publicity promotion and advertising on behalf of TBE and its programs.

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DIETARY RESTRICTIONS & FOOD ALLERGIES

Please list any dietary restrictions and/or food allergies:

GENERAL & MEDICATION ALLERGIES

Please list any general allergies and/or allergies to medications:

MEDICAL CONDITIONS

Please list any medical conditions:

EMERGENCY CONTACT INFORMATION

Emergency Contact #1

Full Name

Mobile Phone

Primary Email

Relationship

Emergency Contact #2

Full Name

Mobile Phone

Primary Email

Relationship

BILLING INFORMATION

First Name

Last Name

Primary Email*

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Billing Street

Billing Unit/Apt.

Billing City

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Is your mailing address the same as your billing address?

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Mailing Street

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Exp. Month

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Exp. Year

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Total

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HIDDEN FIELDS

Form Requests Hidden Fields

FORM #1: ARE YOU A TBE MEMBER?

Yes

FORM #2: # OF ADULTS ATTENDING?

Yes

FORM #3: # OF ADULT MEMBERS ATTENDING?

Yes

FORM #5: # OF ADULT NON-MEMBERS ATTENDING?

Yes

FORM #6: ARE YOU 65 OR OVER?

Yes

FORM #7: HOW WILL YOU BE ATTENDING?

Yes

FORM #8: WILL YOU BE TAKING THE BUS?

Yes

FORM #9: I WOULD BE INTERESTED IN CARPOOLING

Yes

FORM #10: TOT SHABBAT DINNERS

Yes

FORM #11: # OF CHILDREN ATTENDING?

Yes

FORM #12: # OF YOUTH MEMBERS ATTENDING?

Yes

FORM #13: # OF YOUTH NON-MEMBERS ATTENDING?

Yes

FORM #14: SESSION SEASONAL BOXES FOR MEMBERS & NON-MEMBERS?

Yes

FORM #15: PHOTO & VIDEO PERMISSIONS?

Yes

FORM #16: DIETARY RESTRICTIONS & FOOD ALLERGIES

Yes

FORM #17: MEDICAL CONDITIONS

Yes

FORM #18: GENERAL/MEDICATION ALLERGIES

Yes

FORM #19: SUGGESTED DONATION

Yes

FORM #20: EMERGENCY CONTACT (NAME, PHONE NUMBER, EMAIL, RELATIONSHIP

Yes

General Hidden Fields

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