Name *

First Name

Last Name

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

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Zip/Postal Code

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How many people can you accommodate? *

Under 20

20-50

51-100

Over 100

Did you complete the welcome form on gayshabbat.org/welcome? *

Yes

No

By participating in any events or activities organized by Gay Shabbat, you consent to be photographed, filmed, and/or otherwise recorded. Your participation constitutes your consent to such photography, filming, and/or recording, and to any use, in any and all media, for any purpose, in perpetuity. *

We aim to make everyone feel safe and welcome. If this is something you are not comfortable with, please leave a comment or contact us prior to your participation.

I have read and agree to the terms and conditions.