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Miracles on the Mountain
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Adult First Name
*
Adult Last Name
*
Address Line 1
Address Line 2
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City
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Province
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Postal Code
Home Phone
Mobile Phone
*
Email
How many people will be attending?
1
2
3
4
5
Please list the names of everyone who will be attending.
Which Synagogue are you affiliated with?
Please Select One
KBI
Temple Israel
Other
Please list any food allergies and intolerances.
Would you like to make a donation?
Please Select One
18.00
36.00
54.00
100.00
250.00
500.00
I prefer not to contribute at this time
Donations will cover our snacks and will be shared jointly
Total Donation
Mon, 13 January 2025 13 Tevet 5785
