2022 AFJ November Family Dinner. Join Us on November 22nd from 6-8pm at the People’s Forum! | Alliance of Families for Justice Powerbase

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Not including yourself, how many additional guests are you bringing? *

If you are not bringing any guests, please select "no guests." To finish your registration, scroll down to the bottom of the form, accept the covid protocol, and press "submit." If you are bringing guests, please fill out their information in the contact boxes below.

Contact 2

First Name

Last Name

Is the guest you're registering a child (under 18) or an adult?

Adult

Child

Does your guest have any food allergies? If so, please describe.

If you selected "Other" for dietary restrictions, please describe in detail here.

Does your guest need any accommodations?

Is there anything else you would like us to know?

Contact 3

First Name

Last Name

Is the guest you're registering a child (under 18) or an adult?

Adult

Child

Does your guest have any food allergies? If so, please describe.

If you selected "Other" for dietary restrictions, please describe in detail here.

Does your guest need any accommodations?

Is there anything else you would like us to know?

Contact 4

First Name

Last Name

Is the guest you're registering a child (under 18) or an adult?

Adult

Child

Does your guest have any food allergies? If so, please describe.

If you selected "Other" for dietary restrictions, please describe in detail here.

Does your guest need any accommodations? Is there anything else you would like us to know?

Contact 5

First Name

Last Name

Is the guest you're registering a child (under 18) or an adult?

Adult

Child

Does your guest have any food allergies? If so, please describe.

If you selected "Other" for dietary restrictions, please describe in detail here.

Does your guest need any accommodations?

Is there anything else you would like us to know?

Your registration through submission of this form saves you (and guests) a seat at this event and we look forward to seeing you (and your guests)! The day before the event you must email info@afj-ny.org or text (347) 973-0580 a clearly indicated negative COVID test result. A home test or lab generated test are acceptable as long as the results are clearly indicated. A blurry home test photo will not be accepted. A negative covid test submission prior to the event is needed for admission to the dinner. *

I understand that admission to the event will NOT be granted if a negative COVID test picture is not received by AFJ.

Yes