Registration Form | JCC Sonoma County

First name

Last name

Email

Phone Number

Are you celebrating a birthday this August?

Will you need help getting to the luncheon?

Yes I need a ride to and from the restaurant

Yes I have a walker/cane/chair and will need assistance or additional space

Yes other (please specify below)

No but I might be able to offer someone a ride

If you entered "Yes, other" above, please explain:

What is your preferred way of being contacted regarding this event?

Phone Call

Text Message

Email

Any food allergies we should know about ahead of time?

I give permission for photos taken during this event to be used in Friendship Circle newsletters, organizational materials, or social media.

Yes

Add your details