Young Adults Latke Vodka - Form

Saturday, December 14th at 6:00pm
(Address sent in confirmation)

Join your friends for pre-Chanukah fun!

* Confirmation Email

* Please choose the number of adults in your party

* First Name

* Last Name

* Mobile (xxx-xxx-xxxx)

* Email Address

* Temple Shalom Member?

Please Select OneYESNO

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

Please Select OneYESNOPrivacy and Use of Images:

Temple Shalom members and their 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 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.