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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
Full amount to be charged
   Comments