Copy of **Event Template** Registration

Shine A Light 2026

12/03/2026 05:00 PM - 07:00 PM ET

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Number of participants *

First Name *

Last Name *

Email *

Phone *

Address *

City *

State *

Zip *

Include myself as an attendee *

Will anyone in your group require accommodations in order to attend this event? (Please describe) *

Do you receive PJ Library and/or PJ Our Way books? *

Yes

I'm not sure

jkidphilly is deeply committed to fostering an inclusive community that supports families from historically marginalized and underrepresented populations through culturally relevant programming, leadership opportunities, resources, and affinity-specific community building.Please indicate, which, if any of the following apply to your family or household *

One or more members of my family or household identifies as LGBTQ+

One or more members of my family or household identifies as Jew of Color

One or more members of my family or household identifies as Mizrahi (Jewish families of Middle Eastern of North African descent) or Sephardi (Jewish families descending from Spain/The Iberian Peninsula)

One or more members of my family or household is a child with a disability

One or more members of my family or household is Russian-speaking and/or from the Former Soviet Union

My family or household identifies as mixed-heritage or interfaith

I prefer not to answer

None of the above

I understand that by coming to this event my picture may be taken. Prefer not to appear on camera? Let a jkidphilly representative know when you arrive. *

Yes

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