Dr. Sokol Dedication

Dr. Sokol Dedication 2025

"*" indicates required fields

Will you be attending the Chanukat Habayit on Sunday, May 4?

First Name*

Last Name*

Email*

Phone

Will any guests be joining you?*

Guest 1 First Name*

Guest 1 Last Name*

Add an additional guest?

Guest 2 First Name*

Guest 2 Last Name*

Add an additional guest?

Guest 3 First Name*

Guest 3 Last Name*

Add an additional guest?

Guest 4 First Name*

Guest 4 Last Name*

Add an additional guest?

Guest 5 First Name*

Guest 5 Last Name*

To add additional guests, contact us at [email protected] after completing your registration.

I would like to make a gift to The Ark in memory of Dr. Sokol.*

Yes

No, not this time

Donation Amount:*

Name*

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Please add a 3.5% processing fee to my donation to cover credit card costs.

Yes

No, not this time

Credit Card Processing Fee*

Price: $0.00

Thank you for your generous donation of:

Message (optional)

CAPTCHA