The Great Hamentashen Happening-Feb. 23rd

*PLEASE FILL IN ONE (1 ) FORM PER HOUSEHOLD
*Deadline to register is Tuesday, Feb. 21, 2022
*Masks are no longer mandatory anywhere in the building

* First Name

* Last Name

* Address

* City

* Province

* Postal Code

* Email

* Phone Number

IMPORTANT

*PLEASE FILL IN ONE (1 )FORM PER HOUSEHOLD

**THERE IS A MEMBER FEE & A NON-MEMBER FEE

* 1 Dorshei Emet Member (1pound of dough=1 dozen for $20)

1 Non-Member (1 pound of dough=1 dozen for $25)

Dorshei Emet Member Family (2 pounds of dough=2 dozen for $40)

Please list the individual names of family attending:

Non-Member Family (2 pounds of dough=2 dozen for $50)

Please list the individual names of your family non-members attending:

Number of Additional pounds of dough ($10/pound)

* TOTAL number of people attending this event:

TOTAL:

If you selected "Other" where did you hear about the program?

* 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.