Summer Soiree 2019 Plus-One Registration
We’re looking forward to seeing you at Summer Soiree on June 26! Thank you for registering.

For security reasons, only registered guests will be allowed in the venue. If you have purchased a ticket for a plus-one, you or they must complete the following guest registration form as soon as possible in order to attend. Completed forms will only be valid for entry if they are accompanied by a confirmed ticket purchase.

Questions? Contact us at connect@jewishla.org.
Email address *
Name of ticket purchaser *
Your answer
Guest of purchaser's first name *
Your answer
Guest of purchaser's last name *
Your answer
Guest of purchaser's email address *
Your answer
Guest of purchaser's phone number: *
Your answer
Guest of purchaser's zip code *
Your answer
Guest of purchaser's birth year *
Your answer
Has the guest of the purchaser been on a Birthright trip? *
Submit
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