Jewish Kids Club - Aventura Chabad

Address*

Phone Number*
Number of Children Attending:*
Child 1 Attending:*
Child Name:*
First Name Last Name
Child Date of Birth:*

Month Day Year
Child Age:*
Child 2 Attending:*
Child 2 Name:*
First Name Last Name
Child 2 Date of Birth:*

Month Day Year
Child 2 Age:*
Child 3 Attending:*
Child 3 Name:*
First Name Last Name
Child 3 Date of Birth:*

Month Day Year
Child 3: Age:*
Volunteer:
I would like to volunteer to help set up before the event (for parents of kids attending).
Name:*
Phone*
Sponsorship Opportunities:
I would like to co-sponsor the event:

$100 Contributor$180 Patron$360 Sponsor
Total

$0.00

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Volunteer: