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Chabad of the Five Towns

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ב"ה

Jewish Discovery Club

Jewish Discovery Club will be following the guidelines of the CDC
Parent Information
Parent Name
First NameLast Name
Cell Phone Number
Area CodePhone Number
E-mail
Child 1 Information
Full Name
First NameLast Name
School
Grade Entering in the Fall
Comments - Please list any Allergies
Week 1:
Wednesday: July 16
Week 2:
Monday: July 20Wednesday: July 22Monday & Wednesday
Week 3:
Monday: July 27Wednesday: July 29Monday & Wednesday
Week 4:
Monday: August 3Wednesday: August 5Monday & Wednesday
Week 5:
Monday: August 10Wednesday: August 12Monday & Wednesday
Child 2
If you only have 1 child attending you can skip this section
Child Name
First NameLast Name
School
Grade Entering in the Fall
Comments: Please list any allergies
Week 1:
Wednesday: July 16
Week 2:
Monday: July 20Wednesday: July 22Monday & Wednesday
Week 3:
Monday: July 27Wednesday: July 29Monday & Wednesday
Week 4:
Monday: August 3Wednesday: August 5Monday & Wednesday
Week 5:
Monday: August 10Wednesday: August 12Monday & Wednesday
Payment

Payment

Credit Card Pay at Door

Postal / Zip Code

Country

Total
$0.00
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