Small Groups Registration 25-26

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* First Name

* Last Name

* Mobile Phone

* Email Address

* I am a Temple Member

Registering As:

First Name (Partner)

Last Name (Partner)

Mobile Phone (Partner)

Email (Partner)

* Group Type

Tell us a little about yourself:

Include things such as: hobbies, occupation (past or present), age, where you reside, what type of group are you interested in joining ( singles, couples, families or online), etc.

Name of your facilitator:

If you have questions, please feel free to email: PJTBESOC@gmail.com

Temple Beth El of South OC is a patron-supported organization and invite non-members to join our four-part series with a $36 donation.

If the cost is a concern, please feel free to email or call us at 949-362-3999.

By checking this box, I/we agree to donate $36 as a contribution to support this program.

Other donation (please specify amount)

Total