5778 IJC Passover Registration Form
Kindly indicate names of all participants
Your E-mail *
Your answer
Participants
Please indicate first name & family name plus age group for each participant. Thanks.
1. First & Family name
Your answer
1. Age group
2. First & Family name
Your answer
2. Age group
3. First & Family name
Your answer
3. Age group
4. First & Family name
Your answer
4. Age group
5. First & Family name
Your answer
5. Age group
6. First & Family name
Your answer
6. Age group
Are you a member of the IJC ?
Volunteers Needed!
Are you willing to volunteer in making our Seder the best ever? If so, please note your preference and availability for helping out:
My phone number is:
Your answer
THANK YOU!
I want more information about the IJC!
Child(ren)’s month and year of birth
Your answer
Payment Details
Please make payment to:
KBC Bank, account number: 735-0072585-17
IBAN: BE61 7350 0725 8517
BIC: KREDBEBB
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