SIX FLAGS TEEN TRIP

All Day

USE FORM BELOW TO RESERVE OR SPONSOR

SUNDAY, OCTOBER 12TH, SIX FLAGS TRIP

Use this form to reserve for Teens or for Families.

You may still reserve
Tickets only (for families) at $50/ticket.
OR
Tickets with Bus (grades 7-12) at $99

Reach out to Zach Herskowitz at 516-993-8381 with any questions you may have.

PRIMARY CONTACT INFORMATION
This will also serve as emergency contact information.

* First Name

* Last Name

* Phone

* Email

* Address

* City

* Zip Code

* What shul are you affiliated with?

PARTICIPANT INFORMATION

PLEASE LIST EACH PARTICIPANT INDIVIDUALLY
- CLICK THE PLUS ICON BELOW FOR EACH NAME YOU ARE ADDING.

For each participant please indicate whether you are ordering the "Ticket/Bus Package" or "Ticket Only".

* First Name

* Last Name

* Grade

School

* Phone

* Email

* Select Category

Select Ticket Only (no bus)
OR
Ticket/Bus (Available to gradess 7-12)

Click the PLUS icon to add additional participants.

EVENT SPONSORSHIP

SELECT A SPONSORSHIP LEVEL (optional)

If you would be interested in sponsoring this event, please select your sponsorship level.

Total Due

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Tue, October 7 2025 15 Tishrei 5786

West Side Institutional Synagogue • 120 West 76th Street • New York, NY 10023
Tel: 212-877-7652 • Fax: 212-877-9333 • Email: office@wsisny.org