Cheers to 20 Years! Celebration - Form

Cheers to 20 Years!
Celebration Honoring Rabbi Andrew M. Paley
Saturday, February 22nd at 6:00pm
Temple Shalom Radnitz Social Hall

Cocktails
Dinner
Live Music & More!

Adults 21+ only event $36/person includes dinner & one drink ticket (cash bar after)

Event sponsorships available!

* Confirmation Email Address

* Number of Adults 21+ Attending

Please complete all fields for each adult.

Adult's First Name

Adult's Last Name

Mobile Number

Temple Shalom Member?

YesNo

* Adults 21+

$36/person

Total

* How did you hear of this event? Check off as many as apply, please.

* Photo Release--I consent to the use of images of anyone in our party as described below.

Please Select OneYesNoPrivacy 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 Temple Shalom members or non-members or their 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.