Pizza in the Hut 2024 - Form

Join us Sunday, October 20 at Noon to celebrate Sukkot in the Hut! Enjoy pizza, games in the sukkah and a pesto garden party!

* Number of Adults Attending

Adult's First Name

Adult's Last Name

Mobile Number

Temple Shalom Member?

YesNo

* Mobile Number of person completing form

* Email address of person completing form

Number of Children 0-18 attending

Child's First Name

Child's Last Name

Child's Age

Temple Shalom Member?

YesNo

Pizza dinner per family of four (includes one pizza, drinks & dessert) $18/family of fourPlease note that this is non-refundable.

* How many pizza dinners for four?

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.