Your Name (required)

Your Email (required)

Your Phone Number

Names and ages of attendees (required)

Hebrew Class

How many in your party plan to take a Hebrew Class?

Hebrew I

Hebrew II

Volunteer Some Time?

Would you be willing to donate some time? Please include the name of every person in your group willing to donate time and indicate the total number of hours that will be donated.

More time to donate? Please tell us how many people can volunteer for how much time.

Medical Qualifications

Are you either an R.N. or M.D. with a current CPR license?

If so, would you be willing to wear a pinny for the duration of the event so designating you as a potential source of aid in an emergency?

Please, if you are able, donate to the Joppa Plan.

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