Beach Shabbat - Form - Temple Beth El

Beach Shabbat

Friday, June 27
Ocean Reef Park | 3860 North Ocean Drive | Riviera Beach
6:00PM BBQ Dinner | 7:00 PM Service

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* First Name - Person Submitting Registration

* Last Name - Person Submitting Registration

* E-mail Address

Please enter a valid e-mail address;
confirmation will be sent to this e-mail address

* Mobile Phone

# of attendees

$25 per person

Attendee #1

* First Name

* Last Name

Check box to request Vegetarian option

Check box to request Vegetarian option

Attendee #2

* First Name

* Last Name

Check box to request Vegetarian option

Check box to request Vegetarian option

Attendee #3

* First Name

* Last Name

Check box to request Vegetarian option

Check box to request Vegetarian option

Attendee #4

* First Name

* Last Name

Check box to request Vegetarian option

Check box to request Vegetarian option

Attendee #5

* First Name

* Last Name

Check box to request Vegetarian option

Check box to request Vegetarian option

Attendee #6

* First Name

* Last Name

Check box to request Vegetarian option

Check box to request Vegetarian option

Attendee #7

* First Name

* Last Name

Check box to request Vegetarian option

Check box to request Vegetarian option

Attendee #8

* First Name

* Last Name

Check box to request Vegetarian option

Check box to request Vegetarian option

TOTAL

Please check total before submitting this form.

Credit Card Convenience Fee: Please consider adding to your payment the amount to cover the Credit Card Convenience Fee to help offset processing costs. Please note: if you pay via E-check, there is no convenience fee.

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Sat, April 26 2025 28 Nisan 5785

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