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Magen David Adom
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Magen David Adom
Club Chaverim Chocolate Seder
Sunday, April 6, 2025
•
8 Nisan 5785
11:30 AM - 1:30 PM
Beth Am
Register
*
Parent First Name:
*
Parent Last Name:
*
Parent Email Address:
Phone Number:
*
Total Number of Children Attending:
Please Select One
1
2
3
4
5
CHILD 1 INFORMATION
*
Child's First Name:
*
Child's Last Name:
*
Child's Grade:
*
Does this child have any food allergies?
Please Select One
Yes
No
*
Please explain this child's food allergies below
CHILD 2 INFORMATION
*
Child's First Name:
*
Child's Last Name:
*
Child's Grade:
*
Does this child have any food allergies?
Please Select One
Yes
No
*
Please explain this child's food allergies below
CHILD 3 INFORMATION
*
Child's First Name:
*
Child's Last Name:
*
Child's Grade:
*
Does this child have any food allergies?
Please Select One
Yes
No
*
Please explain this child's food allergies below
CHILD 4 INFORMATION
*
Child's First Name:
*
Child's Last Name:
*
Child's Grade:
*
Does this child have any food allergies?
Please Select One
Yes
No
*
Please explain this child's food allergies below
CHILD 5 INFORMATION
*
Child's First Name:
*
Child's Last Name:
*
Child's Grade:
*
Does this child have any food allergies?
Please Select One
Yes
No
*
Please explain this child's food allergies below
Total Amount Due:
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Thu, April 3 2025
5 Nisan 5785
Friday Night
Shabbat Evening Worship
: 7:00pm
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Club Chaverim Chocolate Seder
Sunday, Apr 6 11:30am
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Thu, April 3 2025 5 Nisan 5785
