Salford Family Friday Night

Parent Details

Event

Salford Family Friday Night

Parent 1 Name (Primary Contact)*

First Last

Parent 2 Name

First Last

Primary Contact Email*

Primary Contact Phone (Mob.)*

Address*

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

If you (the parents) are planning on attending any meals, please give dietary/allergy information below:

Unless otherwise stated, the primary contact will also be considered the Emergency Contact for all children listed on this form. Would you like to include an alternate Emergency Contact?*

Yes
No

Please give Emergency Contact details below, and state which child/ren they are responsible for:

Salford Family Shabbat

Step 1 of 4

Parent Details

Children's Details

CHILD 2

CHILD 3

CHILD 4

CHILD 5

CHILD 6

Bencher Sponsorship

Booking & Payment

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Manchester

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