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SHABBAT LUNCH & MELAVE MALKAH 2017: Registration Form
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* Indicates required question
Family Name
*
Your answer
Father's Name
Your answer
Mother's Name
Your answer
Cell Phone Number
*
Your answer
Email Address
*
Your answer
Child Information
Child #1 Name
Your answer
Child #1 Age
Your answer
Child #2 Name
Your answer
Child #2 Age
Your answer
Child #3 Name
Your answer
Child #3 Age
Your answer
Child #4 Name
Your answer
Child #4 Age
Your answer
Child #5 Name
Your answer
Child #5 Age
Your answer
Child #6 Name
Your answer
Child #6 Age
Your answer
Child #7 Name
Your answer
Child #7 Age
Your answer
Package Type
Which programs will you be attending?
*
Melave Malkah ($10 per person)
Shabbat Lunch ($50 per person)-WAIT LIST ONLY
Shabbat Lunch and Melave Malkah ($50 per person + $36 per family)-WAIT LIST ONLY
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