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Children & Youth Ckids Clubs

Tie Dye Chanukah

Sunday, December 18th 2022 11AM

Name*
First NameLast Name
email*
Phone Number*
Area CodePhone Number
Cell Number
Area CodePhone Number

Address*

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

General Child(ren) Admission:
Admission: $10
Hebrew school families Admission::
Free of Charge
Child 1 Name & age
Child 2 Name & age
Child 3 Name & age
Child 4 Name & age
Child 5 Name & age
Child 6 Name & age
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All children must be accompanied by (at least) one adult.
Parents, grandapernts or guardians are invited to take part.
__________________________________________________
Adults (Free of charge)*
Adult Name 1*
Adult Name 2
Adult Name 3
Adult Name 4
Where/how did you hear about this event?*
Comments / suggestions
Use this space to share comments or suggestions.
__________________________________________________
Optional donation
$28.00$56.00$72.00$100.00$180.00$500.00$1000.00
__________________________________________________
Total
$0.00

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