Wufoo
Mitzvah Day Registration Form 2019
Select your First, Second and Third Choices below. Please note that some projects are designated for certain groups.
If a number is missing, it means that project is full and no longer accepting registration.
Visit www.rodefsholom.org/mitzvah-day-2019 for more information and project descriptions!
I/We will attend the Bountiful Bagel Breakfast
Number of adults
Number of kids
I/We will send in a monetary contribution for Mitzvah Day projects (Teddy Bears, Mitzvah Day Parties, etc.)
I would like to help with ongoing mitzvah projects throughout the year
First Project Choice
*
1. Knit Some Comfort | 10 am - 12 noon (min. age: 10)
2. Forget Me Not Farm | 10:30 am - 12:30 pm (min age: 8)
3. Falkirk Mansion | 10:30 am - 12:30 pm (min age 6)
4. Hal Brown Park at Creekside | 10:30 am - 12:30 pm (suggested for kids in grades 1 - 3)
5. Stafford Lake | 10:30 am - 12:30 pm (min age 6)
6. Venetia Valley School Garden |10 am - noon (min age: 5)
9. Tam Valley/Mill Valley Bike Path | 10:30 am - 12:30 (FOR MEMBERS OF FAMILY CHAVURAH ONLY!)
10a. St. Vincent De Paul Dining Room| 8:00 - 9:30 am PREP (min age 16)
0
remaining.
10b. St. Vincent De Paul Dining Room| 9:00 - 10:30 am PREP (min age 16)
0
remaining.
10c. St. Vincent De Paul Dining Room| 10:15 am - 1:00 pm SERVE (min age 16)
0
remaining.
11. Mitzvah Day Breakfast | 8:00 - 10 am (min age 10)
0
remaining.
12a. Blood Drive - Donate Blood | 8:30 am - 1 pm (go to www.bloodheroes.com, click 'donate blood' & enter code 'Rodefsholom' to book a time slot)
12b. Blood Drive - Host & Serve Refreshments to Donors | 9 am - 1 pm
12c. Blood Drive - Bake Cookies for the donors and drop off in the morning
13. Art Project for CERES Community Project | 10 am - 12 noon
14. Jewish Community Free Clinic | 10 am - 12 noon (min. age: 10)
15. No- Sew Baby Blanket Making | 10 am - 12 noon
16. The Redwooods | 10 am - 11:15 am
Second Project Choice
*
1. Knit Some Comfort | 10 am - 12 noon (min. age: 10)
2. Forget Me Not Farms | 10:30 am - 12:30 pm
3. Falkirk Mansion | 10:30 am - 12:30 pm (min age 6)
4. Hal Brown Park at Creekside | 10:30 am - 12:30 pm (suggested for kids in grades 1 - 3)
5. Stafford Lake | 10:30 am - 12:30 pm (min age 6)
6. Venetia Valley School Garden |10 am - noon (min age: 5)
7 .MLK Jr. Academy Garden | 10:30 am - 12:30 pm (Min age 5)
9. Tam Valley/Mill Valley Bike Path | 10:30 am - 12:30 (FOR MEMBERS OF FAMILY CHAVURAH ONLY!)
10a. St. Vincent De Paul Dining Room| 8:00 - 9:30 am PREP (min age 16)
0
remaining.
10b. St. Vincent De Paul Dining Room| 9:00 - 10:30 am PREP (min age 16)
0
remaining.
10c. St. Vincent De Paul Dining Room| 10:15 am - 1:00 pm SERVE (min age 16)
0
remaining.
11. Mitzvah Day Breakfast | 8:00 - 10 am (min age 10)
0
remaining.
12a. Blood Drive - Donate Blood | 8:30 am - 1 pm (go to www.bloodheroes.com, click 'donate blood' & enter code 'Rodefsholom' to book a time slot)
12b. Blood Drive - Host & Serve Refreshments to Donors | 9 am - 1 pm
12c. Blood Drive - Bake Cookies for the donors and drop off in the morning
13. Art Project for CERES Community Project | 10 am - 12 noon
14. Jewish Community Free Clinic | 10 am - 12 noon (min. age: 10)
15. No- Sew Baby Blanket Making | 10 am - 12 noon
16. The Redwooods | 10 am - 11:15 am
Third Project Choice
*
1. Knit Some Comfort | 10 am - 12 noon (min. age: 10)
2. Forget Me Not Farms | 10:30 am - 12:30 pm
3. Falkirk Mansion | 10:30 am - 12:30 pm (min age 6)
4. Hal Brown Park at Creekside | 10:30 am - 12:30 pm (suggested for kids in grades 1 - 3)
5. Stafford Lake | 10:30 am - 12:30 pm (min age 6)
6. Venetia Valley School Garden |10 am - noon (min age: 5)
7. MLK Jr. Academy Garden | 10:30 am - 12:30 pm (Min agae 5)
9. Tam Valley/Mill Valley Bike Path | 10:30 am - 12:30 (FOR MEMBERS OF FAMILY CHAVURAH ONLY!)
10a. St. Vincent De Paul Dining Room| 8:00 - 9:30 am PREP (min age 16)
0
remaining.
10b. St. Vincent De Paul Dining Room| 9:00 - 10:30 am PREP (min age 16)
0
remaining.
10c. St. Vincent De Paul Dining Room| 10:15 am - 1:00 pm SERVE (min age 16)
0
remaining.
11. Mitzvah Day Breakfast | 8:00 - 10 am (min age 10)
0
remaining.
12a. Blood Drive - Donate Blood | 8:30 am - 1 pm (go to www.bloodheroes.com, click 'donate blood' & enter code 'Rodefsholom' to book a time slot)
12b. Blood Drive - Host & Serve Refreshments to Donors | 9 am - 1 pm
12c. Blood Drive - Bake Cookies for the donors and drop off in the morning
13. Art Project for CERES Community Project | 10 am - 12 noon
14. Jewish Community Free Clinic | 10 am - 12 noon (min. age: 10)
15. No- Sew Baby Blanket Making | 10 am - 12 noon
16. The Redwooods | 10 am - 11:15 am
Name of adult 1
*
First
Last
Name of adult 2
First
Last
Email
*
Phone Number
*
###
-
###
-
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Name of kid 1
First
Last
Age
Name of kid 2
First
Last
Age
Name of kid 3
First
Last
Age
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