Family Chanukah Party Registration

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* Parent's First Name

* Last Name

* Email Address

* Cell Phone

* Total Number of Children Ages 2-15

* How would you like to pay?

Select a Payment MethodNow, with Credit Card or E-checkAfter completing this form, with VenmoAfter completing this form, with ZelleBy the door, with Cash / Check

* Number of Children Paying for Now

This is will likely be the same amount that you already entered for "Total Number of Children 2-15"

* Child #1 Name & Age

* Child #2 Name & Age

* Child #3 Name & Age

* Child #4 Name & Age

* Child #5 Name & Age

* Child #6 Name & Age

* Child #7 Name & Age

* Child #8 Name & Age

* Child #9 Name & Age

* Child #10 Name & Age

Additional Donation Amount

Total Due

Notes

Add another child / special request / comments....

Mon, February 9 2026 22 Shevat 5786

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