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Search for:
Masquerade Madness
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Masquerade Madness
Purim Party 2026: Masquerade Madness
"
*
" indicates required fields
Name
*
First
Last
Billing Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Email
*
Phone
*
Which of the following best describes your current life stage (please check all that apply):
Adult 22-30 years old
Parent of Young Children (0-9)
Adult 31-45 years old
Parent of Tweens (10-13)
Adult 46-60 years old
Parent of Older Children (14-21)
Adult 61-75 years old
Grandparent
Adult 76+
Retiree
Purim Party Ticket - Early Bird
Purim Party Ticket - Regular
Purim Party Ticket - Pay it forward
Purim Party Ticket - Additional bingo cards
Ticket Option
*
The ticket price includes one drink, a bingo card, heavy hors d’oeuvres and a great time with old and new friends.
Regular Price - $72 per person before February 20
I'd like more information about a reduced price ticket
Would you like to "pay-it-forward"?
An additional $54 helps make this experience accessible for someone who wouldn’t otherwise be able to attend.
Yes
No
Including yourself, how many people are you registering?
*
1
2
3
4
5
Additional Participant #1
Name
*
First
Last
Is this person over the age of 21?
*
Yes
No
Which of the following best describes this person's current life stage (please check all that apply):
Adult 22-30 years old
Parent of Young Children (0-9)
Adult 31-45 years old
Parent of Tweens (10-13)
Adult 46-60 years old
Parent of Older Children (14-21)
Adult 61-75 years old
Grandparent
Adult 76+
Retiree
Email
*
How is this person related to you?
*
Spouse/Partner
Child
Grandchild
Other Relative
Friend
Additional Participant #2
Name
*
First
Last
Is this person over the age of 21?
*
Yes
No
Which of the following best describes this person's current life stage (please check all that apply):
Adult 22-30 years old
Parent of Young Children (0-9)
Adult 31-45 years old
Parent of Tweens (10-13)
Adult 46-60 years old
Parent of Older Children (14-21)
Adult 61-75 years old
Grandparent
Adult 76+
Retiree
Email
*
How is this person related to you?
*
Spouse/Partner
Child
Grandchild
Other Relative
Friend
Additional Participant #3
Name
*
First
Last
Is this person over the age of 21?
*
Yes
No
Which of the following best describes this person's current life stage (please check all that apply):
Adult 22-30 years old
Parent of Young Children (0-9)
Adult 31-45 years old
Parent of Tweens (10-13)
Adult 46-60 years old
Parent of Older Children (14-21)
Adult 61-75 years old
Grandparent
Adult 76+
Retiree
Email
*
How is this person related to you?
*
Spouse/Partner
Child
Grandchild
Other Relative
Friend
Additional Participant #4
Name
*
First
Last
Is this person over the age of 21?
*
Yes
No
Which of the following best describes this person's current life stage (please check all that apply):
Adult 22-30 years old
Parent of Young Children (0-9)
Adult 31-45 years old
Parent of Tweens (10-13)
Adult 46-60 years old
Parent of Older Children (14-21)
Adult 61-75 years old
Grandparent
Adult 76+
Retiree
Email
*
How is this person related to you?
*
Spouse/Partner
Child
Grandchild
Other Relative
Friend
Would you like to purchase additional bingo cards?
One (1) Card - $10
Three (3) Cards - $25
Six (6) Cards - $50 (perfect if registering for 2 people)
Interested in connecting with another guest ahead of time?
Click "Yes" and we’ll match you with someone based on your life stage.
Yes
No
Do you (or anyone in your party) need any special accommodations?
*
Yes
No
If yes, please specify:
Do you (or anyone in your party) have any food allergies?
*
Yes
No
If yes, please specify the allergy and severity of allergy (ex. if it is an airborn allergy):
How did you hear about the Purim Party? (Please select all that apply)
Save the Date
Social Media
The Network's Newsletter
JMORE
Friend/Family Member
Other
If "Other", please specify
Photo Permission
*
I give my permission to have my photograph used by The Jewish Connection Network and The Associated: Jewish Federation of Baltimore. My agreement on this form gives photography release rights to The Jewish Connection Network and The Associated: Jewish Federation of Baltimore. This release pertains to print as well as electronic media, including brochures, advertisements, annual reports, the website and other materials used to promote The Jewish Connection Network and The Associated: Jewish Federation of Baltimore and constituent agency programs to the community. This release excludes third party media, state, and corporate security from the waiver.
Yes
No
Liability Release (all participants)
*
I release and hold harmless The Jewish Connection Network and The Associated: Jewish Federation of Baltimore, its affiliates, officers, employees and agents from and against all claims, damages, liabilities, losses and expenses actually incurred, arising out of any personal injury or property damage resulting from participation in any activity. This release shall be binding on my family, heirs, executors, administrators, personal representatives and guardians.
Yes
No
Total
Coupon
Payment Method
*
PayPal Checkout
Credit Card
Discover
MasterCard
Visa
Supported Credit Cards: Discover, MasterCard, Visa
Card Number
Expiration Date
Security Code