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Wheel & Walk to Worship
Sunday, May 23, 2021
•
12 Sivan 5781
3:00 PM - 5:00 PM
Register
In the case of inclement weather or other unexpected issue, we will reach out to let you know about any changes to the schedule. Please make sure to check your email right up until the time of the event. Participation is voluntary and at your own risk. All participants are required to follow social distancing and masking guidelines. Registering for this event shows that you agree with these terms. Thank you!
*
Email Address
*
First Name
*
Last Name
Cell Number
Donation to the MEAICA Food Voucher Program
Please consider making a donation to the MEAICA Food Voucher program. No amount is too big or small, and the money raised will be donated to help members of our community who are in need. Please enter the amount of your choosing in the space below. Thank you very much for your donation.
Participant 1
*
Participant 1 Name
*
Participant 1 Activity
Please Select One
Not riding or walking
11 Mile Bike
5 Mile Bike
2.9 Mile Walk
Kiddie Course (child w adult supervisor)
Kiddie Course (adult supervisor)
Activity Choice
*
BBQ Food Choice
Please Select One
No Food
Kosher Hot Dog
Veggie Burger
BBQ is $6/participant or $20/family of 4 or more
Include a 2nd Participant?
No
Yes
Participant 2
*
Participant 2 Name
*
Participant 2 Activity
Please Select One
Not riding or walking
11 Mile Bike
5 Mile Bike
2.9 Mile Walk
Kiddie Course (child w adult supervisor)
Kiddie Course (adult supervisor)
Activity Choice
*
BBQ Food Choice
Please Select One
No Food
Kosher Hot Dog
Veggie Burger
BBQ is $6/participant or $20/family of 4 or more
Include a 3rd Participant?
No
Yes
Participant 3
*
Participant 3 Name
*
Participant 3 Activity
Please Select One
Not riding or walking
11 Mile Bike
5 Mile Bike
2.9 Mile Walk
Kiddie Course (child w adult supervisor)
Kiddie Course (adult supervisor)
Activity Choice
*
BBQ Food Choice
Please Select One
No Food
Kosher Hot Dog
Veggie Burger
BBQ is $6/participant or $20/family of 4 or more
Include a 4th Participant?
No
Yes
Participant 4
*
Participant 4 Name
*
Participant 4 Activity
Please Select One
Not riding or walking
11 Mile Bike
5 Mile Bike
2.9 Mile Walk
Kiddie Course (child w adult supervisor)
Kiddie Course (adult supervisor)
Activity Choice
*
BBQ Food Choice
Please Select One
No Food
Kosher Hot Dog
Veggie Burger
BBQ is $6/participant or $20/family of 4 or more
Include a 5th Participant?
No
Yes
Participant 5
*
Participant 5 Name
*
Participant 5 Activity
Please Select One
Not riding or walking
11 Mile Bike
5 Mile Bike
2.9 Mile Walk
Kiddie Course (child w adult supervisor)
Kiddie Course (adult supervisor)
Activity Choice
*
BBQ Food Choice
Please Select One
No Food
Kosher Hot Dog
Veggie Burger
BBQ is $6/participant or $20/family of 4 or more
Include a 6th Participant?
No
Yes
Participant 6
*
Participant 6 Name
*
Participant 6 Activity
Please Select One
Not riding or walking
11 Mile Bike
5 Mile Bike
2.9 Mile Walk
Kiddie Course (child w adult supervisor)
Kiddie Course (adult supervisor)
Activity Choice
*
BBQ Food Choice
Please Select One
No Food
Kosher Hot Dog
Veggie Burger
BBQ is $6/participant or $20/family of 4 or more
Total amount due
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Fri, March 29 2024 19 Adar II 5784