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Parent Information
Parent Name
*
First Name
Last Name
Mobile Phone
*
Email
*
Verify Email
*
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
CKids Child Information
CKids is for children from 4-11
I have
select one
1 Child
2 Children
3 Children
4 Children
Child #1 Name
*
First Name
Last Name
Child #1 Birthday
*
(mm/dd/yyyy)
Child #2 Name
*
First Name
Last Name
Child #2 Birthday
*
(mm/dd/yyyy)
Child #3 Name
*
First Name
Last Name
Child #3 Birthday
*
(mm/dd/yyyy)
Child #4 Name
*
First Name
Last Name
Child #4 Birthday
*
(mm/dd/yyyy)
Yes! It would be great if Sarah reached out to me to introduce herself
CTeens Information
CTeens is for teens from 12-17
I have
select one
1 Teen
2 Teens
3 Teens
Teen #1 Name
*
First Name
Last Name
Teen #1 Birthday
*
(mm/dd/yyyy)
Teen #1 Email
Verify Email
Teen #1 Cell
Teen #2 Name
*
First Name
Last Name
Teen #2 Birthday
*
(mm/dd/yyyy)
Teen #2 Email
Verify Email
Teen #2 Cell
Teen #3 Name
*
First Name
Last Name
Teen #3 Birthday
*
(mm/dd/yyyy)
Teen #3 Email
Verify Email
Teen #3 Cell
Yes! It would be great if Sarah reached out to my teen directly to introduce herself
Yes! It would be great if Sarah reached out to me to introduce herself
Pre-Rosh Hashanah CTeen Kickoff Event
Painting, Pizza, Shmooz, Chill
Yes, I'd like to RSVP for the Kickoff Event on Sunday, September 18 @ 11am at Chabad.