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Test event template
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Test event template
1- EVENT TEMPLATE
"
*
" indicates required fields
Name
*
First
Last
Email
*
Phone
*
Zip Code
*
ZIP Code
Which of the following best describes your current life stage (please check all that apply):
Adult 22-39 years old
Adult 40-54 years old
Adult 55+
Parent of Young Children (0-9)
Parent of Tweens (10-13)
Parent of Older Children (14-21)
Empty Nester
Grandparent
Retiree
Teen and College-Age (14-21)
Other
Including yourself, how many people are you registering?
*
Please enter a number from
1
to
5
.
Additional Participant #1
Name
*
First
Last
Is this person under 18 years old?
*
Yes
No
Birth Year
*
Email
*
How is this person related to you?
*
Spouse
Child
Grandchild
Other Relative
Friend
Additional Participant #2
Name
*
First
Last
Is this person under 18 years old?
*
Yes
No
Birth Year
*
Email
How is this person related to you?
*
Spouse
Child
Grandchild
Other Relative
Friend
Additional Participant #3
Name
*
First
Last
Is this person under 18 years old?
*
Yes
No
Birth Year
*
Email
How is this person related to you?
*
Spouse
Child
Grandchild
Other Relative
Friend
Additional Participant #4
Name
*
First
Last
Is this person under 18 years old?
*
Yes
No
Birth Year
*
Email
How is this person related to you?
*
Spouse
Child
Grandchild
Other Relative
Friend
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):
We are eager to learn more about you so that we can best serve you and support a diverse, inclusive and vibrant Baltimore Jewish community. These questions are optional, please answer only what you are comfortable sharing.
Do you identify as any of the following? (select as many as apply):
Leave blank if none apply
Deaf Adult
Individual with Disabilities
Israeli
Jew of Color
LGBTQ+
New to Baltimore (less than 5 years)
Parent of a Child with Disabilities or Special Needs
Parent of an Adult with Disabilities
Russian Speaking
Single Parent
Other
How do you describe your Jewish Identity? (select as many as apply):
Conservative
Cultural
Jew by Choice
Just Jewish
Modern Orthodox
Multifaith Household
Orthodox
Reconstructionist
Reform
Secular
Spiritual
N/A- I’m not Jewish
Other
Photo Permission
*
I give my permission to have my photograph used by The Associated Jewish Federation of Baltimore and its agencies. My agreement on this form gives photography release rights to The Associated Jewish Federation of Baltimore and its agencies. This release pertains to print as well as electronic media, including brochures, advertisements, annual reports, the website and other materials used to promote The Associated Jewish Federation of Baltimore and its agencies 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 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
Liability Release (for participants under 18)
*
I represent that I am the custodial parent or legal guardian of the above registered child(ren), and intend THE ASSOCIATED and its affiliates, officers, employees and agents rely on this representation.
I Agree
N/A -- I am not the legal guardian of the registered child(ren)