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Contact Us
Viva Las LoMPTY (Apr. 2, 2022)
Please verify reCaptcha before submitting the form.
Please fill out the below form to register for the event.
Once you submit you will receive more information about event logistics, etc...
The event takes place on Saturday, April 2, 2022 from 6:30 to 9:30pm at Congregation Or Ami in Calabasas. Feel free to dress fancy!
*
Teen's First Name:
*
Teen's Last Name:
*
Email:
So we can send a confirmation email with important info.
*
Teen Cell Phone Number:
So we can text you a reminder and/or any last-minute updates.
*
Would you like to perform something at the event?
Please Select One
Yes
No
Like a song/musical performance, poetry, stand-up comedy...
*
Is this teen fully vaccinated against COVID-19?
Please Select One
Yes
No - a negative COVID test will be provided
If answer is no, a negative PCR test will need to be provided prior to the event. All responses will be kept private.
*
Please check this box to reserve your spot for $25
Please check this box to reserve your spot for $25
Questions? Contact LoMPTY Advisor Andrew Fromer (
andrew@orami.org
)
Wed, April 24 2024
16 Nisan 5784
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Wed, April 24 2024 16 Nisan 5784