Teen Chocolate Seder

Calendar
Donate

7th-12th Graders!

Join us on Saturday, April 19th from 3:00-5:00pm at Rodef Sholom.

Teens are invited to join us for a delicious dinner, a seder-style retelling of the (slightly modernized and teen-approved) Passover story, and of course, lots and lots of chocolate.

* Please select Member or Non-Member of Rodef Sholom

Please Select OneMember FeeNon-Member FeeIf registering more than one teen, please use separate forms for each.

Total Due

TEEN INFORMATION

* Teen's First Name

* Teen's Last Name

* Email Address

* Grade

Please list any allergies, dietary restrictions, medications, medical conditions, or physical limitations here:

PARENT ~ GUARDIAN INFORMATION

* Parent/Guardian First Name

* Parent/Guardian Last Name

* Parent/Guardian Email Address

* Parent/Guardian Cell Phone

EMERGENCY INFORMATION

* Emergency Contact First Name

* Emergency Contact Last Name

* Emergency Contact Cell Phone