Cinemates Replay-Dec. 11, 2025

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*Please fill in one (1) for per household

* First Name

* Last Name

* Cell Phone Number

* Email

* TOTAL number of people attending from your household:

Please list the names of the ALL individuals in your household attending:

Help us continue to offer programs for everyone in our community. A suggested optional donation of $18 for members and $36 for non-members makes a big difference.

Donate today and be part of what makes Dorshei Emet special. Thank you for your generosity! All donations will be recognized in the Kol Ha’kehilah Newsletter.

Donation Amount ($18 minimum donation for tax receipt)

Photos of you may be taken during this event. Congregation Dorshei Emet may use these photos in synagogue publications, flyers and on the screens in the lobby.
Please contact Cynthia Weinstein at executivedirector@dorshei-emet.org with questions.

If you selected "Other" where did you hear about the program? (If referred by a friend, please provide their name)

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