I need a ride
I can provide a ride
Special considerations we should consider when assigning you a home
(e.g. mobility, food or animal allergies):
Restaurant cost (if important - choose one or more):
Any specific restaurants or categories of restaurants you do not want to be assigned (we cannot make changes after assignments are made):
If you are participating as an individual and would like to be paired with
another member for the entire evening please list their name
(both must submit forms, each listing the other for pairing):
Single Beit Am members may invite a non-member guest -
include them in NAME(S)
We need as many hosts as possible - hosting is necessary to make this event possible and is part of the fun.
I am willing to host
I have pet(s)
- what kind
My house entry is accessible by people with limited mobility
I have a bathroom on the entry level
I can accommodate guests with dietary restrictions (e.g. gluten-free,
lactose intolerance, food allergies)
Total number of people who can be seated (including yourselves)
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You will be given a chance to review your form and edit it if needed.
Please feel free to contact Beit Am if you need information or other help: