Yisod Summer Celebration Registration

Your Name(Required)

First Last

Your Email(Required)

Your Birthday(Required)

What neighborhood do you live in?(Required)

If you’re attending with any guest(s), please provide their information below:

First Name

Last Name

DOB

Neighborhood

Are there any dietary/allergy accommodations we should be aware of?*

*Please Note: We cannot guarantee allergy accommodations for registrations received less than 14 days before the dinner

Anything else you’d like us to know?

Would you like to make a donation to support Yisod programming?(Required)

Yes

How much would you like to donate?(Required)

$18.00

$36.00

Other

Custom Donation Amount

Convenience Fee(Required)

Price: $0.00

Total

Payment Method(Required)

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

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