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Kol Nidre Campaign 2023 / 5784
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2025 Affinity Group Event Information Request Form
Please verify reCaptcha before submitting the form.
General Information
*
Affinity Group/Sponsoring Group
Men's Club
Sisterhood
Prime Timers
Membership Services
Lilmode: Adult Education
Social Action
Religious School/Preschool
Youth Commission
Youth Department - Chaverim, Chalutzim, Gesher, USY
*
Contact Person's First Name
*
Contact Person's Last Name
*
Email
*
Event Name
*
Date of Event
Additional Sessions (if any)
*
Start Time
*
Estimated End Time
End time is required by our software - it doesn't need to be exact
Estimated Attendance
*
Event Description
If this event is virtual, please include Zoom info
Location
If at synagogue, indicate room(s) needed. If offsite, indicate name of venue.
Registration Information
*
Is Registration Requested?
Please Select One
Yes
No
Select "Yes" if there is any cost involved.
Public Registration Deadline
Absolute Registration Deadline
Registration deadlines are frequently extended. This date should reflect the absolute latest deadline. It will be hidden from public view and set in the system as the last day to allow online registration
Info needed from attendees
Is there an attendance limit?
If yes, what is the limit?
Any age or other restrictions?
Price Information
Adult Price
Indicate member and non-member prices or Free if no charge
Older Child Price
Include age range for this price
Younger Child Price
Include age range for this price
Family Price
When does family price apply?
Early Bird Price?
Please Select One
Yes
No
Early Bird Adult Price
Date Range & Discounted Price
Early Bird Older Child Price
Date Range & Discounted Price
Early Bird Younger Child Price
Date Range & Discounted Price
Early Bird Family Price
Date Range & Discounted Price
Other Pricing Options
Enter any payment categories and prices that cannot be entered in the above price sections.
Provide description of category and price.
For example: Pay vendor directly or Table of 10 for $100
Payment Information
Payment in Full Required at Registration?
Yes
No
Can Pay at the Door?
Yes
No
Miscellaneous Information
Additional items not listed
Mon, February 3 2025 5 Shevat 5785
