Youth & Family Engagement Community Dinner, Friday, December 12th at 6:15pm

Childcare support available Friday until 8:00pm.

PLEASE NOTE: To bill your account or to pay via eCheck/ACH (no fee), you must first be logged in to your online Beth El account (for those who have one) at www.bethelnr.org. Otherwise, your only option will be to pay via credit card (2.9% fee).

* First Name

* Last Name

* Email Address

* Phone Number

* How many people total are you registering to join us for dinner?

How many persons ages 18 and up are attending the dinner? ($36 per person)

* Please list the name of attendees ages 18 and up (separated by commas).

How many persons ages 13-17 are attending the dinner? ($25 per person)

Please list the name of attendees ages 13-17 (separated by commas).

How many children ages 3 - 12 are attending the dinner? ($18/child)

Please list the name of attendees ages 3-12 (separated by commas).

How many children ages 2 and under are attending the dinner? (FREE/children ages 0-2)

Total amount

* Please list all dietary restrictions with persons name. (Please let us know if you are Gluten free/Vegan/Vegetarian or any other restrictions).

Wed, November 19 2025
28 Cheshvan 5786

Wed, November 19 2025 28 Cheshvan 5786