Boneem Program - Form - Congregation Rodeph Sholom

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Boneem Program

Boneem Program RSVP Form

* Name of event

* Date of event

* Child's First Name

* Child's Last Name

Child's Grade

Child's Age

Child's cell phone (if available)

Child's Email Address (if available)

Do you have more than one child attending this event?

* Child's First Name

* Child's Last Name

Child's Grade

Child's Age

Child's cell phone (if available)

Child's Email Address (if available)

Are you a member of Rodeph Sholom?

NoYes

* First Name

* Last Name

Mobile Number

* Email

* Permission to Attend

By placing my name here permission is hereby granted by the undersigned parent(s) or guardian(s) for my child(ren) to attend the event at Congregation Rodeph Sholom.

Please contact Josh Ackman with any questions.
Youth@rsholom.org

Wed, October 15 2025 23 Tishrei 5786