Latkes and Laughs 2021 Watch Party - Form - Temple Emanu-El

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Latkes and Laughs 2021 Watch Party

* First Name

* Last Name

* E-Mail

* Phone Number

* Number of Attendees In Your Group

* I am a Temple Emanu-El (Select 1 below)

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Optional Donation

Total

* Are you fully vaccinated? (2 weeks after 2nd shot)

Select OneYesNo

* Required: Upload COVID Vaccine Card

* First & Last Name Of Attendee 2

* Phone Number of Attendee 2

* Email of Attendee 2

* Are you fully vaccinated? (2 weeks after 2nd shot)

Select OneYesNo

* Required: Upload COVID Vaccine Card

* First & Last Name Of Attendee 3

* Phone Number of Attendee 3

* Email of Attendee 3

* Are you fully vaccinated? (2 weeks after 2nd shot)

Select OneYesNo

* Required: Upload COVID Vaccine Card

* First & Last Name Of Attendee 4

* Phone Number of Attendee 4

* Email of Attendee 4

* Are you fully vaccinated? (2 weeks after 2nd shot)

Select OneYesNo

* Required: Upload COVID Vaccine Card

* First & Last Name Of Attendee 5

* Email of Attendee 5

* Are you fully vaccinated? (2 weeks after 2nd shot)

Select OneYesNo

* Required: Upload COVID Vaccine Card

* First & Last Name Of Attendee 6

* Phone Number of Attendee 6

* Email of Attendee 6

* Are you fully vaccinated? (2 weeks after 2nd shot)

Select OneYesNo

* Required: Upload COVID Vaccine Card

* First & Last Name Of Attendee 7

* Phone Number of Attendee 7

* Email of Attendee 7

* Are you fully vaccinated? (2 weeks after 2nd shot)

Select OneYesNo

* Required: Upload COVID Vaccine Card

Wed, December 8 2021
4 Tevet 5782

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Wed, December 8 2021 4 Tevet 5782

Temple Emanu-El ~ 1010 University Ave, San Jose CA 95126 ~ 408-292-0939

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