Chabad Kids High Holidays Toolbox Order Form

Please fill out this form to order a Chabad Kids High Holidays Toolbox!
Pick up from Chabad on Thursday 17 September 5:30-7:30pm or Friday 18 September 11:00am-1:00pm.
Please Note: While stock lasts, filling out the form does not guarantee a box, you will receive a confirmation call or text from Rabbi Mendy or Chanie.
Your Name*
First NameLast Name
Phone Number*
E-mail
Number of children per family*
Child 1 Name*
First NameLast Name
Child 1 Date of Birth*
DayMonthYear
Child 2 Name
First NameLast Name
Child 2 Date of Birth
DayMonthYear
Child 3 Name
First NameLast Name
Child 3 Date of Birth
DayMonthYear
Child 4 Name
First NameLast Name
Child 4 Date of Birth
DayMonthYear

Address

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