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Youth CKids Holiday Clubs

CKids Holiday Clubs Registration

CLICK HERE FOR CLUB DESCRIPTIONS

Holiday clubs are geared for children in Grades 1-5.
Full Name*
First Name Last Name
E-mail*
Phone Number*

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

# of Children participating in CKids Clubs*
I would like to register for *

Purim Club - $30Passover Club - $30Jewish Home Club - $30
I would like to register for

Purim Club - $30Passover Club - $30Jewish Home Club - $30
I would like to register for

Purim Club - $30Passover Club - $30Jewish Home Club - $30
Child #1 Name*
First Name Last Name
Child #2 Name*
First Name Last Name
Child #3 Name*
First Name Last Name
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

I would like to receive news and updates by email
Should be Empty:

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