REGISTER

Untitled design.png Today, as a Boston Marathon Bombing Survivor and amputee, Roseann is making great strides in changing the lives of others. As one of the top motivational speakers, Roseann combines her powerful, personal story of perseverance with her professional corporate background and offers lessons learned throughout her challenging comeback journey as insightful, motivational tools that everyone can use to discover their own unstoppable strength. Roseann’s mantra that "life is only as positive as you make it," serves as the foundation for redefining one’s own mindset in achieving every personal and professional goal, and ultimately living a happier, richer and more fulfilling life.

Full Name*

First NameLast Name

E-mail*

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number*

Area CodePhone Number

Would you like to help out before the event (Nov. 10,11,12)

YesNo

Would you like to be a table captain to help out table-mates through the challah making process?

YesNo

How many guests including yourself are you reserving for?

Please enter all attendees INCLUDING yourself , ages 16+ only. Covert: $36 per person.

Secure a table for 10 by signing up today! All seat selections will be open on a first come first serve, once seating selection email goes out.

Amount of Guests- including you!*

Your name*

Your E-mail*

Secure a table of 10. You will be charged the FULL amount for 10 seats NOW.

Yes!No

Guest 1 Name

Guest 1 Email

Guest 2 Name

Guest 2 Email

Guest 3 Name

Guest 3 Email

Guest 4 Name

Guest 4 Email

Guest 5 Name

Guest 5 Email

Guest 6 Name

Guest 6 Email

Guest 7 Name

Guest 7 Email

Guest 8 Name

Guest 8 Email

Guest 9 Name

Guest 9 Email

$1,800 - Challah Baker $1,000 - Event Sponsor $500 - Friend

Select one

$1800$1000$500

We will be featuring "SPLIT-THE-DOUGH" a cash prize raffle at the event. 50% of all the money in the pot will go to one lucky winner. The other 50% will go towards covering the cost of the evening. We will be donating 10% of the proceeds. Tickets will be on sale at your table at the Challah Bake for CASH or CHECK only. Online tickets will be available thru Sunday, November 10.

The cost of tickets is as follows.
$5 for one Ticket
$10 for Three Tickets
$20 for Seven Tickets

Save time! Play online

$5$10$20

Your registration is not complete without your payment. No Payment at the door.

IMPORTANT: Please continue to the Paypal Payment after you hit submit for your reservation to be complete.

You will receive an automatic response email to let you know that your reservation went through. If you don't receive that email right after you register, then you know your reservation was not successful.

Please note that in advance of the event you will be receiving an email to choose your seating preference. (Only entered email addresses will receive seating email).

Total

$0.00

Payment


Paypal has been selected. Payment will take place on the next page.

It is an auspicious time to pray for others during the time of taking Challah.

Please list names ( Hebrew Name bat or ben {daughter/son} Mother's Hebrew Name ) .

We will be having all the names in mind during the time of taking Challah at the Challah Bake.

*Names received by Wednesday, November 6th will be included in our Prayer presentation.

Name for prayer 1

Name for prayer 2

Name for prayer 3

You are almost there!Please hit submit and CONTINUE on the next page to pay. After you pay you will receive an PAYPAL email response confirming your reservation.

***Please note we are unable to process any refunds. In the event that you signed up and are unable to join the Challah Bake, you are welcome to find a friend as a replacement and contact us to make the switch for you.

PLEASE NOTE : YOUR PAYPAL RECEIPT IS YOUR RECEIPT FOR YOUR REGISTRATION. AN EMAIL WILL BE SENT TO YOU THE WEEK OF THE CHALLAH BAKE REGARDING YOUR SEAT SELECTION.

1. Personal Information

2. Volunteer Opportunity

3. Reservation Information

4. Optional Donation

5. Split The Dough

6. Payment

7. Prayer