Temple Shalom Community Seder 2023

Personal Information

• * Prefix: --Choose-- Mr Mrs Miss Ms Dr Prof Rev Fr Sr Rabbi
• * First Name:
• * Last Name:
• * Email Address:
• * Confirm Email Address:
• * Phone:
• * Address 1:
• * City:
• * State: --Choose-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming -------------- Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory
• * ZIP Code:
• * What would you like for dinner at the Community Seder? --Choose-- Roasted Chicken Roasted Brisket Grilled Vegetable Medley
• I would like to sit with:

• Fee

  Type	Fee
  Temple Shalom Member - Adult $54.00 after Friday, March 31, 2023	$49.00
  Temple Shalom Member - Child 5-12 $44.00 after Friday, March 31, 2023	$39.00
  Non-Temple Member - Adult $59.00 after Friday, March 31, 2023	$54.00
  Non-Temple Member - Child 5-12 $49.00 after Friday, March 31, 2023	$44.00
  Child Under the Age of 5	No Charge
  Sponsor - Please select level below	No Charge

Guest Information

You may add a maximum of 15

Privacy and Use of Images

• Families may be photographed or videotaped as they participate in Temple activities, or they may be recorded in Temple Shalom video stream programs. On occasion, these images, and the identity of the persons depicted, may be used by Temple Shalom for educational, instructional, development and/or informational purposes in print, internet and digital media, including in news releases (e.g., Texas Jewish Post) and/or printed publications or materials, electronic publications, or websites. Temple Shalom will not sell images of families to third parties, and it will not use their images for promotional or advertising purposes that do not concern Temple Shalom and its programs.

• Consent to Privacy and Use Policy --Choose-- Yes No

COVID Protocols

• Full vaccination (including booster) is expected for eligible people and masking is encouraged (except while eating).