Chanukah Party We Are Light

Personal Information

• * First Name:
• * Last Name:
• * Email Address:
• * Confirm Email Address:

• (Please include COUNTRY CODE only if your number is not from the US. Thanks)

• * Phone:
• * Country: --Choose-- United States Canada -------------- Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, Democratic Republic of Cook Islands Costa Rica Cote D'Ivoire Croatia Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guyana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory, Occupied Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Barthelemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin (French Part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch Part) Slovakia Slovenia Solomon Islands Somalia South Africa South Korea South Sudan Spain Sri Lanka Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe
• * 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:
• *

  Relationship Status:

  • Single
  • Divorced
  • In a relationship
• * Date of Birth (Month/Day/Year)

• Fee

  Type	Fee
  Chanukah Party We are Light ONLINE REGISTRATION	$30.00
  <3 I love u	$40.00
  WOW thanks!	$100.00
  Yuuhuuuu you are the best!	$180.00
  Yeahhhh!!!! You are amaziiiing!!!	$770.00
  YES!!!!! (hmmmm maybe you added a 0 by mistake?)	$1,800.00

• *

  Language:

  • English
  • Spanish
  • Hebrew
  • Other

Jewish Background

• Kspace Miami follows the Strict Orthodox Jewish Tradition of Conversion. Please respond to the following questions truthfully. Please know this information is Confidential to Kspace Miami.

• *

  Gender:

  • Male
  • Female
• *

  Shomer Negiah:

  • Yes
  • No
• *

  Shomer Shabbat:

  • Yes
  • No
• *

  Kosher:

  • Yes
  • No
• *

  Are both of your parents Jewish?

  • Yes
  • No, only my dad
  • No, only my mom
  • Neither
• *

  Kspace reserves its right of admission (especially to guarantee a successful ratio of gender and age). By submitting this form you accept you completed it truthfully and to the best of your abilities, and you accept that if any information is untruthful you forfeit your registration without a refund. By submitting this form you give Kspace Miami permission to proceed with a background check to verify Jewish roots amongst other things. *REGISTRATION IS PERSONAL, NON-TRANSFERABLE & NON REFUNDABLE*

  • I HAVE READ & I AGREE TO THE TERMS OF THE EVENT REGISTRATION