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Your Info
First Name
*
Last Name
*
Phone Number
*
Email
*
Street Address
City
Postal Code
State/Province
How many participants would you like to register for?
*
1 - Just Myself
2
3
4
5
Dietary Preference
*
Fish/Meat
Vegan
Vegetarian
Wine Preference
*
Dry
Sweet
Low Alcohol
Grape Juice
Are you Jewish
*
Yes
No
Have you attended a Seder in the past?
*
Yes
No
Is there anything else we should know?
Participant 2
First Name
*
Last Name
*
Participant's relation to You
*
- Select -
My Child
My Parent
My Spouse
My Friend
Other
Dietary Preference
*
Fish/Meat
Vegan
Vegetarian
Wine Preference
*
Dry
Sweet
Low Alcohol
Grape Juice
Is this participant Jewish
*
Yes
No
Has this participant attended a Seder in the past?
*
Yes
No
Participant 3
First Name
*
Last Name
*
Participant's relation to You
*
- Select -
My Child
My Parent
My Spouse
My Friend
Other
Dietary Preference
*
Fish/Meat
Vegan
Vegetarian
Wine Preference
*
Dry
Sweet
Low Alcohol
Grape Juice
Is this participant Jewish
*
Yes
No
Has this participant attended a Seder in the past?
*
Yes
No
Participant 4
First Name
*
Last Name
*
Participant's relation to You
*
- Select -
My Child
My Parent
My Spouse
My Friend
Other
Dietary Preference
*
Fish/Meat
Vegan
Vegetarian
Wine Preference
*
Dry
Sweet
Low Alcohol
Grape Juice
Is this participant Jewish
*
Yes
No
Has this participant attended a Seder in the past?
*
Yes
No
Participant 5
First Name
*
Last Name
*
Participant's relation to You
*
- Select -
My Child
My Parent
My Spouse
My Friend
Other
Dietary Preference
*
Fish/Meat
Vegan
Vegetarian
Wine Preference
*
Dry
Sweet
Low Alcohol
Grape Juice
Is this participant Jewish
*
Yes
No
Has this participant attended a Seder in the past?
*
Yes
No
Sponsorship
$36 - Sponsor a person
$300 - Sponsor an entire table
Chabad of Castro Valley
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