5-ALIVE Officers Program Registration
הלוואי stands for 5-Alive. 
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Full Name
Date of Birth
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What is your son doing now?
How socially active is your son? 
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Are you familiar with Rabbi Yoske's work?
What are your goals for the program?
For more information and to register call Levke Kaplan at 718-877-3528 between 5-7 PM. 
The cost for the full program is $9,000 this includes the classes, training and fields trips.
Payments are made on the 5ALIVEVIP.COM donate page. Please write 'officers Program in the memo.
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