CONTACT US
Please fill out this form to pre-register for a special event at Temple Sukkat Shalom.
Name of Attendee(s)
Email
Contact Phone number - ### ####
Are you a current Sukkat Shalom member? Yes No
Which workshop(s) will you be attending?
"Two Wholes of a Whole" - Single "Two Wholes of a Whole" - Couple Self-Defense Certification (3 sessions) Self-Defense Course (Sunday) Self-Defense Course (Wednesday) Self-Defense Course (Thursday) If attending "Two Wholes of a Whole" will you need on-site child care? No Yes - 1 child Yes - 2 children Yes - 3 children Yes - 4 children
If attending "Two Wholes of a Whole" will you need on-site child care?
No Yes - 1 child Yes - 2 children Yes - 3 children Yes - 4 children
Member of theUnion for Reform Judaism
