IN-PERSON
Saturday Mornings
(see dates below)
(no cost)
Your Information
Are you a member of Temple Sinai?
Yes
No
First Name
Last Name
Email
Mobile Phone Number
Please Confirm Your Email:
Will you be attending:
Yes
No
I am registering for:
December 7
Will an Addtional Adult be Attending?
Yes
No
Number of Children for Circle Time:
Please select...
0
1
2
3
4
How many children attending Big Kid Blessings?
Please select...
0
1
2
Guests (Adult + Children):
Adult 2 Details:
A2. First Name
A2.
Last Name
A2.
Email:
A2.
Mobile Phone Number:
A2. Guest Count:
0
Child 1:
First Name
Last Name
Date of Birth
Child 2:
First Name
Last Name
Date of Birth
Child 3:
First Name
Last Name
Date of Birth
Child 4:
First Name
Last Name
Date of Birth
Are there any dietary restrictions among those attending?
Yes
No
If you've answered 'yes' please indicate Adult or Childs name and dietary restriction:
Every caring gift helps the Temple Sinai community stay connected.
Would you consider contributing (Tzedakah) to enhance our Circle Time program?
Yes
Not This Time
Invoice Required
Yes
No
If you selected yes, please enter your contribution amount below
$
CDN
(Please note the minimum contribution is $10)
Please charge my credit card for:
$
CDN
Credit Card Payment Information
First Name on Card
Last Name on Card
Credit Card Number
Exp. Month
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01
02
03
04
05
06
07
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09
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12
MM
x
Exp. Year
Please select...
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
YYYY
x
CVV
Street Address
(Please ensure you provide your complete billing address)
City
Province
Postal Code
Authnet_Hidden_Fields
Outreach ID
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Contact Information
