Chanukah Workshop

CHANUKAH WORKSHOP RSVP FORM (this event is free of charge)
Personal Information
Parent's First Name		Parent's Last Name
Address		City
State		Zip
Home Phone		Email
RSVP Information
How Many Children Attending?
Details (provide name and age of each child who will be attending)

Optional Donation Please consider making a contribution to Chabad to help us to continue to provide fun Jewish educational youth programs to all regardless of affiliation or background
Card number		Expiration date (MM/YYYY)
Full amount to be charged		Comments