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Zooming in on kids
Please verify reCaptcha before submitting the form.
*
First Name
*
Last Name
*
Mobile Phone
*
Email Address
*
Address
*
City
*
Postal Code
*
Are you a Member of Adath Israel?
Please Select One
Yes
No
How many children will be participating?
Please Select One
1 participant
2 participants
3 participants
4 participants
We will be providing a separate kit for each child participating.
Child 1 - Name
Child 2 - Name
Child 3 - Name
Child 4 - Name
On which day would you like to pick up your kit from Adath Israel?
Please Select One
Sunday Dec 6 1:00 - 1:30 pm
Wednesday Dec 2 5:00 - 6:00 pm
None of these dates work for me
I do not require a kit for my children
How did you hear about the program?
Fri, 26 April 2024 18 Nisan 5784