Lag Baomer Family Picnic!

Use this form to register for the Lag Baomer Family Picnic!

Friday, May 16th at 5:00 pm.
South Russell Village Park, 1000 Bell Rd.

Admission:
Adult $10
Child (3-16) $5
Family $25

Please consider sponsoring this community event in full or part. Thank you!

Your Registration Info

First Name *

Last Name *

Email *

Phone *

Amount of adults / children

Admission

How many adults (16+) at $15 each

$15.00

How many children (3-16) at $10 each

$10.00

-Or- write "1" in this box for family admission

$30.00
For family admission, use ONLY this box. Write "1" in the box.

Event Sponsorship

Event co-sponsor - $ 180.00

Event sponsor - $ 360.00

Total