Simchat Torah Dinner & Celebration
Monday, October 13 | 5:15 pm
Join us for a joyful intergenerational celebration as we come together in song, dance, and connection to honor the Torah—unrolled in its entirety and lifted up by our community. We’ll begin with a festive dinner at 5:15 pm, featuring rolled and spiral-inspired foods that echo the form of the scroll and the sacred cycle of stories we complete and begin anew. The celebration continues with our Simchat Torah service at 6:00 pm, a chance to rejoice, reflect, and share in the richness of our tradition—together.
____________________________________________________
Thank you for your interest in
Simchat Torah Dinner & Celebration
. This form is currently closed.
Please reach out to Lynn Burke Harrell at lharrell@tbewellesley.org with any questions.
TBE Form Password:
Please press the shift key after you enter the password.
Event Waitlist
Yes, I would like to register for the waitlist for this event
REGISTRATION
Are you a TBE Member?
Yes
No
What is your connection to TBE?
Number of adults attending:
Please select...
1
2
3
4
5
6
7
8
Number of adult members attending:
Please select...
1
2
3
4
Number of adult non-members attending:
Please select...
1
2
3
4
First Name
Last Name
Primary Email
First Name
Last Name
Primary Email
First Name
Last Name
Primary Email
First Name
Last Name
Primary Email
First Name
Last Name
Primary Email
First Name
Last Name
Primary Email
First Name
Last Name
Primary Email
First Name
Last Name
Primary Email
SIMCHAT TORAH DINNER & CELEBRATION
Please select your preferred option for the in-person activities:
Dinner & Program (In-Person)
Program Only (In-Person)
REGISTRATION
Are you a TBE Member?
Yes
No
What is your connection to TBE?
Number of adults attending:
Please select...
0
1
2
3
4
5
6
Number of youths attending:
Please select...
1
2
3
4
5
6
Dinner & Program - Number of adult non-members attending:
Please select...
1
2
3
4
First Name
Last Name
Primary Email
First Name
Last Name
Primary Email
First Name
Last Name
Primary Email
First Name
Last Name
Primary Email
First Name
Last Name
Primary Email
First Name
Last Name
Primary Email
Number of youths attending:
Please select...
0
1
2
3
4
5
6
First Name
Last Name
Age
First Name
Last Name
Age
First Name
Last Name
Age
First Name
Last Name
Age
First Name
Last Name
Age
First Name
Last Name
Age
CUSTOM QUESTIONS
Are you age 65 or older?
Yes
How will you be attending?
In Person
Online
Will you be taking the bus?
Yes
I would be interested in carpooling with TBE
Yes
SESSION DATES
I would like to register for the following session(s):
You can always come back to this form and register for additional sessions in the future!
Sunday, September 21 | 10:30 am -12:00 pm
Limit of 10 participants
Please select...
0
1
Sunday, September 21 | 10:30 am -12:00 pm
FULL
Yes, I would like to join the event waitlist.
Sunday, October 5 | 10:30 am -12:00 pm
Limit of 10 participants
Please select...
0
1
Sunday, October 5 | 10:30 am -12:00 pm
FULL
Yes, I would like to join the event waitlist.
Sunday, October 19 | 10:30 am -12:00 pm
Limit of 10 participants
Please select...
0
1
Sunday, October 19 | 10:30 am -12:00 pm
FULL
Yes, I would like to join the event waitlist.
___________________________________________________
Have you attended a different Circle of Connection in the area?
Yes
No
Do you have school-aged children?
Yes
No
How did you hear about Circles of Connection?
Why are you interested in Circles of Connection?
Accommodation Request - Is there anything that you need from us so that you can better access the group?
Is there anything else that you would like us to know?
This Circle is designed to offer support and connection to participants; it is not a clinical or therapeutic group. Please check that you have read and understood this statement.
Yes
I understand that the information I provide on this form will be shared with JF&CS and CJP as part of the registration process and anyone under 18 must be registered by a parent or guardian.
Yes
STUDENT CARE PACKAGES REGISTATION
Contact information for students receiving care packages:
Please select...
1
2
3
4
Student Information #1
First Name
Last Name
Student Email
School Name
Mailing Street
Dorm/Room #:
Mailing City:
Mailing State:
Mailing Zip code:
Food allergies/concerns:
Winter Break Start Date
Summer Break Start Date
Student Information #2
First Name
Last Name
Student Email
School Name
Mailing Street
Dorm/Room #:
Mailing City:
Mailing State:
Mailing Zip code:
Food allergies/concerns:
Winter Break Start Date
Summer Break Start Date
Student Information #3
First Name
Last Name
Student Email
School Name
Mailing Street
Dorm/Room #:
Mailing City:
Mailing State:
Mailing Zip code:
Food allergies/concerns:
Winter Break Start Date
Summer Break Start Date
Student Information #4
First Name
Last Name
Student Email
School Name
Mailing Street
Dorm/Room #:
Mailing City:
Mailing State:
Mailing Zip code:
Food allergies/concerns:
Winter Break Start Date
Summer Break Start Date
___________________________________________________
Rosh Hashanah Package
: How many package(s) would you like to send for Rosh Hashanah?
$18.00 per student
Please select...
0
1
2
3
4
Chanukah Package
: How many package(s) would you like to send for Chanukah?
$18.00 per student
Please select...
0
1
2
3
4
Passover Package
: How many package(s) would you like to send for Passover?
$18.00 per student
Please select...
0
1
2
3
4
___________________________________________________
Please contact me to help with mailings?
Yes
No
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!
Friday, September 12, 2025: 5:00-7:00pm
Friday, October 10, 2025: 5:00-7:00pm
Friday, November 14, 2025: 5:00-7:00pm
Friday, December 5, 2025: 5:00-7:00pm
How many participants for Friday, September 12, 2025?
Please select...
1
2
3
4
5
6
7
8
9
10
How many participants for Friday, October 10, 2025?
Please select...
1
2
3
4
5
6
7
8
9
10
How many participants for Friday, November 14, 2025?
Please select...
1
2
3
4
5
6
7
8
9
10
How many participants for December 5, 2025, 2025?
Please select...
1
2
3
4
5
6
7
8
9
10
SESSION CHOICES
Members
Fall
Winter
Spring I
Spring II
Non Members
Fall
Winter
Spring I
Spring II
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.
Yes
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
Emergency Contact #1
Full Name
Mobile Phone
Primary Email
Relationship
Emergency Contact #2
Full Name
Mobile Phone
Primary Email
Relationship
DONATIONS
Suggested donation of $18.00 per person to help offset the cost of the evening.
REGISTRANT INFORMATION
for confirmation email
First Name*
Last Name*
Primary Email*
Mobile Phone*
City/Town
Religion
Ethnic Background
Please select...
American Indian/Alaska Native
Asian
Black/African American
Hispanic/Latino
Native Hawaiian/Other Pacific Islander
White
Two or More Ethnicities
Other
Age Range
Please select...
21-29
30-39
40-49
50-59
60-69
70-79
80 and over
Credit Card No.
Exp. Month
MM
x
Exp. Year
YYYY
x
Verification Code
_____________________ADDRESS LOCATOR INSTRUCTIONS____________________________
Please type out your full address below (including a comma after the street name) until it appears as an option in the dropdown box.
For any unit or apartment number, enter the number only in the designated box.
For all PO Box addresses, type the address of the post office in the address section below. Then type "PO Box #XXX" in the "Unit/Apt/PO Box" field.
Billing Street:
Unit/Apt/PO Box #
Billing City
Billing State
Billing Zip Code
Is your mailing address the same as your billing address?
Yes
No
Mailing Street:
Unit/Apt/PO BOX #
Mailing City
Mailing State
Mailing Zip Code
Total
$
Total Registrants
Adult Registrants
Youth Registrants
Dinner & Program Registrants
Program Registrants
General Hidden Fields
Outreach ID
Designation ID
Dinner Price
Member Price
NonMember Price
Price
Gateway Amount
$
Gateway Quantity
ContactID
AccountID
Today's Date
REGISTRATION - CAPACITY
Form - Registration - Current Tally
Prefill - SF - Registration - Currently Tally
DINNER & PROGRAM - CAPACITY
Form - D&P - Current Tally
Prefill - SF - D&P - Currently Tally
PROGRAM - CAPACITY
Form - Program - Current Tally
Prefill - SF - Program - Currently Tally
ADULT - CAPACITY
Form - Adult - Current Tally
Prefill - SF - Adult - Currently Tally
YOUTH - CAPACITY
Form - Youth - Current Tally
Prefill - SF - Youth - Currently Tally
EVENT SPACE #1 - CAPACITY
Form - Event Space 1 - Current Tally
Prefill - SF - Event Space 1 - Currently Tally
EVENT SPACE #2 - CAPACITY
Form - Event Space 2 - Current Tally
Prefill - SF - Event Space 2 - Currently Tally
EVENT SPACE #3 - CAPACITY
Form - Event Space 3 - Current Tally
Prefill - SF - Event Space 3 - Currently Tally
FINANCE - 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
: SHABBAT DINNER & PROGRAMS
Yes
FORM #20
: SESSION COC
Yes
FORM #21
: REGISTRATION
Yes
FORM #22
: TBE FORM WAITLIST FIELD
On
FORM #22
: BILLING ADDRESS
On
FORM #22
: MAILING ADDRESS
On
FORM #22
: STUDENT REGISTRATION
On
HIDDEN FIELDS - AUTHORIZE
AUTHORIZE_DOT_NET_TRANSACTION_ID
AUTHORIZE_DOT_NET_TRANSACTION_ID
AUTHORIZE_DOT_NET_STATUS
AUTHORIZE_DOT_NET_CREDIT_CARD_SUFFIX
AUTHORIZE_DOT_NET_SUBSCRIPTION_ID
AUTHORIZE_DOT_NET_AUTH_TOKEN
reCAPTCHA helps prevent automated form spam.
The submit button will be disabled until you complete the CAPTCHA.