This form is for in-person services being held at Darchei Noam (211 W Butler Ave, Ambler) on Saturday April 23, 2022
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Adult 1 Name
Adult 2 Name
How many total from your household will be attending?
I understand that it is expected that I, along with any household members in attendance, adhere to the COVID guidelines put forth by Darchei Noam.
A copy of your responses will be emailed to the address you provided.
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