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CKids Club Registration

CKids Club Registration Form

Note: FREE for Chabad Hebrew School students, but registration is required.

This program is also open to prospective Hebrew School families for nominal charge.

Sponsors:
Sponsors of $100 or more will be listed here
Full Name
First Name Last Name
E-mail*
Phone Number

Area Code Phone Number
We are already registered at Chabad Hebrew's Cool, and attending with ____________ # of children Free of charge
We want to check out Chabad Hebrew's Cool, and attending with ____________ # of children Only $10 per child
Comments?
Donation / Sponsors Donations $100+ will be listed as event sponsors

$54$100$180$360$540$800$1000$1800$3600
Total

$0.00
Yes, I'd like to donate the cost of processing this transaction by adding 3%

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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