Jewish Women's Circle Mega Challah Bake Registration Form This event is for women and teens (ages 11+) When you register, you can choose a Table Leader or choose a "Meet New Friends" table Table Sponsors: Sponsor a Table for $500 (Includes two gift necklaces) A Table Sponsor sign will be displayed on your table Event Sponsors: Sponsors $100+ will be listed here Sponsorships are in addition to ticket purchases Name* First Name Last Name E-mail* Phone Number Area Code Phone Number Fee: $50 per person* How many people are you registering for? Please list the names of those you are registering for Choose a Table We will do our best to assign you to a specific table Andrea Bari & Stacey Rosmarin - Table HeadsJaimie Dahan & Malkie Zafir - Table HeadsTara McCauley - Table HeadDina Presser & Rikki Herbst - Table HeadsMarina Deskin & Cindy Eisner - Table HeadsSuzy Berkowitz - Table HeadPaige Gold & Dayna Olstein - Table HeadsLiat Mosker - Table HeadOrit Zabari - Table HeadTeen TableEmpty Nesters Connect TableMeet New Friends Table Optional Donation / Be a Sponsor Sponsor a scholarship Ticket $54 / Sponsor a Table $500 / Be a Principal Event Sponsor $3600 $50$72$100$180$360$500$800$1800$3600 Dance Performance Opportunity for Girls and Teens Would you like to perform in the Challah Shack Fancy Dance? Dancers will be sent a choreographed dance via video to learn from and have one in person practice before the event. Dancers need tickets to the event to participate. Dancers will receive a free Challah Shack Fancy Necklace Yes! My daughter would like to be in the dance Optional: Exclusive Challah Shack Fancy Necklace $18 each You can purchase this limited edition necklace while supplies last. Pick up at the event. Please indicate how many you wish to order Comments: Total $0.00 Yes, I'd like to donate the cost of processing this transaction by adding 3% Payment Method Credit Card Zelle, PayPal or Check Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code Name on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Expiration Month2026202720282029203020312032203320342035 Expiration YearZelle/Paypal to [email protected]Mail checks to: 94 Gilbert St., Monroe, NY 10950Billing Address Street Address City State / Province Postal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOther Country I would like to receive news and updates by email Should be Empty: Submit This page uses TLS encryption to keep your data secure.