BarTY Party at Dave and Busters

All Barnert teens are welcome! $35/person for BarTY members and $45/person for all others.

Parent Info

* First Name

* Last Name

* Email

* Phone

Attendee Info

* How many people are you registering?

Attendee #1

* First Name

* Last Name

* Cell

* Grade

* Membership Status

Food Allergies?
We'll be serving food at this event. Let us know if you have any allergies.

* Vaccination Status

If not previously provided, please upload proof of vaccination.

You can upload a maximum of 2 files.

* I permit my photo to be displayed on public Barnert social media pages.

Attendee #2

* First Name

* Last Name

* Cell

* Grade

* Membership Status

Food Allergies?
We'll be serving food at this event. Let us know if you have any allergies.

* Vaccination Status

If not previously provided, please upload proof of vaccination.

You can upload a maximum of 2 files.

* I permit my photo to be displayed on the private BarTY Instagram page.

Attendee #3

* First Name

* Last Name

* Cell

* Grade

* Membership Status

Food Allergies?
We'll be serving food at this event. Let us know if you have any allergies.

* Vaccination Status

If not previously provided, please upload proof of vaccination.

You can upload a maximum of 2 files.

* I permit my photo to be displayed on the private BarTY Instagram page.

Payment Details

I would like to make an additional donation to BarTY.

Not required, but always appreciated!

Total Due

Mon, June 30 2025
4 Tammuz 5785

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BarnertTemple

Mon, June 30 2025 4 Tammuz 5785

CONTACT US

Barnert Temple
(Congregation B'Nai Jeshurun)
747 Route 208 South
Franklin Lakes , NJ 07417
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(201) 848-1800
info@barnerttemple.org

Remittance Address:
Barnert Temple
c/o Kesef Accounting
P. O. Box 418
Montvale, NJ 07645

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