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Your Role in Mental Health
Sunday, August 28, 2022
•
1 Elul 5782
1:00 PM - 4:00 PM
Jewish Community Center, 350 S. Dahlia St.
Please register below!
Register
REGISTRATION FORM
*
First Name
*
Last Name
*
Email
Phone number
Including you, how many people will be in your party?
One
Two
Three
Four
Five
Six
If you indicated anyone would be joining you, please provide their name(s) below.
*
Thank you for your support!
Please Select One
Suggested Minimum Donation $18.00 Each
Supporter $36.00 Each
Elevator $54.00 Each
Lifter $72.00 Each
Babysitting - Please indicate # of children Free
Please add the names and ages of children for babysitting below.
Only complete this if you selected babysitting.
Total
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Fri, April 19 2024 11 Nisan 5784