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Rosh Hashanah & Yom Kippur Teen Program
Please verify reCaptcha before submitting the form.
The deadline to register and pay for your registration is Monday, September 30 at 4:00pm EST.
*
First Name:
*
Last Name:
*
Email:
*
Cell phone number:
*
Amount of Teens to register ($40 each):
0
1
2
3
4
5
6
7
8
9
10
Click the Plus (+) sign to add required information for each of your teens:
*
Name of child:
*
Grade:
Please Select One
9
10
11
12
*
Food allergies and/or preferences (vegetarian, gluten-free...)
Total:
Payment will be required on the next page in order to submit your registration.
Fri, October 11 2024 9 Tishrei 5785
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