Please fill out prior to the start of Sparkle/Chillzone 5779! We can't wait to enjoy a season of learning & fun with your children! Please contact Rabbi Mordy to sponsor a week of Chillzone/Sparkle!
Child/ren's Name(s), Ages, grades
Who will be picking up my child from Sparkle/Chillzone (please put all that apply)
Please provide a phone number in case of emergency and/or if the leaders need to contact you:
Please sign your name below. I agree to follow the Sparkle/chillzone pickup procedures to ensure the safety of my children.
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