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JUDA Kids Club - Registration Form
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Event: Family Hamantash Bake

Date & Time: March 9th at 4:00 PM

Location: 1 Torah Way, Rockaway NJ
Join us for a hands-on Family Hamantash Bake where kids and parents will roll, fill, and shape their very own hamantashen! With traditional and funfetti dough and a variety of exciting fillings, this is the perfect way to get into the Purim spirit. Plus, enjoy fun Purim games for the whole family!
Child's Name (#1)*
First Name Last Name
Hebrew Name
Birth Date*

Month Day Year
School
Child's Name (#2)
First Name Last Name
Hebrew Name
Birth Date

Month Day Year
School
Child's Name (#3)
First Name Last Name
Hebrew Name
Birth Date

Month Day Year
School

Address*

Parent/Guardian Information
Mother's Name*
First Name Last Name
Mother's E-mail*
Mother's Phone Number*
Fathers's Name
First Name Last Name
Fathers's E-mail
Father's Phone Number
Number of Children Attending:*

1 Child2 Children3 Children
Total

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