JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Breaking the fast Iftar/Dinner Wednesday March 19,2025 at 6pm
At
UWMS Community Center,
600 Bear Ridge Rd, Pleasantville NY, 10570
Limited seating,registration ends on Sat. 3/15/25 at 6pm
* Indicates required question
Email
*
Record my email address with my response
Name
*
Your answer
Affiliation
*
Your answer
Have you attended AMWA program
*
Yes
No
Bring guest/friends/family member
Yes
No
Maybe
Clear selection
Any food restrictions or allergies
*
Your answer
A copy of your responses will be emailed to .
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Sign in to continue
Cancel
sign in
To fill out this form, you must be signed in.
Report Abuse
Cancel
sign in