Cinemates Film Club - Sept. 28th - Form

Cinemates Film Club - Sept. 28th

Thursday, Sept. 28 @1:00-3:00PM In-Person

*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:

* I acknowledge the photo disclaimer below:

I acknowledge the photo disclaimer below: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?