This form will be sent to Emily Osterman, Facilities Coordinator at Congregation Beth Am. Emily will be in touch with you regarding your request and will guide you through the process to publicize your event, if appropriate. Please allow 72 hours for a response. Please do not publicize your event or make any further arrangements until Emily has confirmed that the space is available. Thank you. |
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Event Name
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For
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If other, please specify:
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Date
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List Additional Dates
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Start Time
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End Time
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Room Open Time
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Sponsoring Organization
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Submitter
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Name: Phone:
Email:
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Contact for RSVP
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Name: Phone:
Email:
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Room
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If other, please enter location:
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Category
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Food
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If Pot Luck, specify food (dairy, vegetarian, etc.):
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Childcare
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If yes, what age group?:
If yes RSVP to :
Name: Phone:
Email:
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Transportation Provided
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YesNo
If yes, for whom
If yes, RSVP to :
Name: Phone:
Email:
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Additional Comments
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