at the Boca Beach Chabad Jewish Center
490 E Palmetto Park Rd. Boca Raton, FL 33432

ב"ה

Kids Program

KIDS PROGRAM:

Kids Programs are available for all ages.
Professional Child Caregivers will be managing the program.
Kindly let us know if your children will be attending so we can prepare accordingly.
Parent Name*
First Name Last Name
E-mail:*
Number of children attending:*
1. Child Name, Age and Gender*
Child Name Child Age Gender
2. Child Name, Age and Gender*
Child Name Child Age Gender
3. Child Name, Age and Gender*
Child Name Child Age Gender
4. Child Name, Age and Gender*
Child Name Child Age Gender
5. Child Name, Age and Gender*
Child Name Child Age Gender
We will be attending on: *

Saturday, September 12 10:00 AM - 1:00 PMSunday, September 13 10:00 AM - 1:00 PMSunday, September 20 7:00 PMMonday, September 21 10:30 AM - 2:00 PM. Including a Magic Show!
Kindly help us cover the costs of all the above programs. Suggested donation $36 per day per child.

$36$54$72$144
Total:

$0.00

Payment:

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

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