Donations

Donations Introduction

Tribute

Yahrzeit

Tzedakah

Memorial Plaque

Tree of Life

Amudei Adat Shalom

Kol Nidre Pledge

Ganon Gil Preschool

Mosad Shalom
Religious School

Men's Club Dues
and Activities

Fundraisers

Gift Cards &
Entertainment Books

Gift Shop
Mitzvah Day Registration

Please complete this registration form including each member of your family who will be attending Mitzvah Day.

Fees are as follows:
     By April 18: $15 per person/$18 per family.
     After April 18: $18 per person/$25 per family.


First Name: 
Last Name: 
Age (if under 18): 
Project: 

First Name: 
Last Name: 
Age (if under 18): 
Project: 

First Name: 
Last Name: 
Age (if under 18): 
Project: 

First Name: 
Last Name: 
Age (if under 18): 
Project: 

First Name: 
Last Name: 
Age (if under 18): 
Project: 

Fee: $

Payment Type: 
Credit Card   Mail in Check

Credit Card: 
Credit Card Number: 
Expiration Date: 
3-digit # on Back of Card: 
Billing Address Zip Code: 
Phone: 
Email: 

Comments: 


Waiver: I/We understand that I/We am/are spending the day as volunteer(s) on projects organized by Temple Adat Shalom in connection with its Mitzvah Day activities held in conjunction with other non-profit organizations. I/we understand that in consideration for being allowed to participate in Temple Adat Shalom's Mitzvah Day activities, I/We am/are responsible for my/our behavior and will only perform volunteer work that I/we feel comfortable doing. Further, I/we agree to release Temple Adat Shalom, its officers, directors and employees from any and all claims, demands, actions, damages, liabilities and expenses resulting from or arising out of any personal injury or property damage which I/we may suffer or incur in connection with my/our participation in Mitzvah Day.
          
Enter Name to Accept Waiver: