Prime Timers Bingo, BBQ & Beer
Saturday, February 22 | 6:00 pm
Join other TBE members in their 50s, 60s and early 70s for a night of friendship, fun, and prizes! We'll enjoy beef and chicken barbecue and salads from Blue Ribbon BBQ before trying our luck with bingo. Vegetarian options available.
Please bring a dessert to share or a beverage (beer, wine, or soft drink/seltzer).
____________________________________________________
Thank you for your interest in
Prime Timers Bingo, BBQ & Beer
. This form is currently closed. Please reach out to Susan Karon at skaron@tbewellesley.org with any questions.
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Event Waitlist
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REGISTRATION
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Number of adults attending:
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Number of adult members attending:
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Number of adult non-members attending:
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Event Registration #1
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Event#1- Number of adult members attending:
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Event#1 - Number of adult non-members attending:
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Event Registration #2
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Event #2 - Number of adults attending:
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CUSTOM QUESTIONS
Are you age 65 or older?
Yes
How will you be attending?
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Will you be taking the bus?
Yes
I would be interested in carpooling with TBE
Yes
TOT SHABBAT DATES
We would like to register for the following dinners:
You can always come back to this form and register for additional dinners in the future!
Month X1, 202X: 5:30pm
Month X2, 202X: 5:30pm
Month X3, 202X: 5:30pm
Month X4, 202X: 5:30pm
Month X5, 202X: 5:30pm
Month X6, 202X: 5:30pm
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Month X8, 202X: 5:30pm
NUMBER OF YOUTH ATTENDING
Number of youth attending:
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9
Number of youth non-members attending:
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9
First Name (#1)
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DOB (#3)
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DOB (#7)
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SESSION CHOICES
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PHOTO & VIDEO PERMISSIONS
I grant my permission to use any and all written comments, pictures, or video in which my child or I may appear for print, audio, visual, and/or electronic publicity promotion and advertising on behalf of TBE and its programs.
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No
DIETARY RESTRICTIONS & FOOD ALLERGIES
Please list any dietary restrictions and/or food allergies:
GENERAL & MEDICATION ALLERGIES
Please list any general allergies and/or allergies to medications:
MEDICAL CONDITIONS
Please list any medical conditions:
EMERGENCY CONTACT INFORMATION
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DONATIONS
Please consider making a donation
REGISTRANT INFORMATION
for confirmation email
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_____________________ADDRESS LOCATOR INSTRUCTIONS____________________________
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Event Space #1- Capacity
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Event Space #2- Capacity
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Finance - Registrations $ Total
Form - Finance $ - Current Tally
Prefill - SF - Finance $ - Current Tally
HIDDEN FIELDS - FORM REQUESTS
FORM #1
: ARE YOU A TBE MEMBER?
Yes
FORM #2
: # OF ADULTS ATTENDING?
Yes
FORM #3
: # OF ADULT MEMBERS ATTENDING?
Yes
FORM #4
: # OF ADULT NON-MEMBERS ATTENDING?
Yes
FORM #5
: ARE YOU 65 OR OVER?
Yes
FORM #6
: HOW WILL YOU BE ATTENDING?
Yes
FORM #7
: WILL YOU BE TAKING THE BUS?
Yes
FORM #8
: I WOULD BE INTERESTED IN CARPOOLING
Yes
FORM #9
: TOT SHABBAT DINNERS
Yes
FORM #10
: # OF YOUTH ATTENDING?
Yes
FORM #11
: # OF YOUTH MEMBERS ATTENDING?
Yes
FORM #12
: # OF YOUTH NON-MEMBERS ATTENDING?
Yes
FORM #13
: SESSION SEASONAL BOXES FOR MEMBERS & NON-MEMBERS?
Yes
FORM #14
: PHOTO & VIDEO PERMISSIONS?
Yes
FORM #15
: DIETARY RESTRICTIONS & FOOD ALLERGIES
Yes
FORM #16
: MEDICAL CONDITIONS
Yes
FORM #17
: GENERAL/MEDICATION ALLERGIES
Yes
FORM #18
: SUGGESTED DONATION
Yes
FORM #19
: EMERGENCY CONTACT (NAME, PHONE NUMBER, EMAIL, RELATIONSHIP
Yes
FORM #20
: EVENT REGISTRATION 1 & 2
Yes
FORM #21
: Registration
Yes
FORM #22
: TBE FORM WAITLIST FIELD
On
HIDDEN FIELDS - AUTHORIZE
AUTHORIZE_DOT_NET_TRANSACTION_ID
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