Shabbat Connection
Name:
Address:
City:
Telephone:
E-mail:
Would you like to host a family
for a Friday night dinner?
yes
no
If yes,
Would you like to host a family with children?
yes
no
What age child(ren) would you prefer?
Would you prefer a family without children?
yes
no
Do you have a kosher home?
yes
no
Would you like to be hosted
for a Shabbat dinner?
yes
no
If yes, do you need a kosher home?
yes
no
(Other dietary requests should be discussed with the host family.)
Do you have children living at home?
yes
no
If yes, please list their names and ages:
Are you interested in learning more about the Shabbat Seder (the prayers traditionally said at the dinner table on Friday nights)?
yes
no
Additional comments about the Shabbat Connection program?