CKids Birthday Club Attendee Information

We are so excited to celebrate your child's Jewish Birthday!
Please fill out this quick form so we can prepare for the special celebration.
Your Name*
Parent/Guardian's First Name Parent/Guardian's Last Name
Child's Name*
First Name Last Name
Child's Hebrew (Jewish) Name* If they don't have, write none.
For catering purposes, roughly how many guests do you expect will join (including your family)*
Please fill these out for a feature game at the program.
If you don't know the answer you can leave it. Don't stress :)
Child's Favourite Colour
Child's Favourite Food
Child's Favourite Jewish Holiday
Child's Favourite Animal
Child's Favourite Ice Cream Flavour
Hebrew Birthday

Please fill in information for your child's Hebrew Birthday below. Please note, as the Jewish day begins on the preceding evening, we will ask for an approximate time of birth so that we can ascertain their accurate Hebrew birthday.
Date of Birth*

Day Month Year
Approx time of birth
Location of birth (for those not born in Australia). This is to check if your child was born before or after sundown in specified location
There is no charge to participate in the program. If you would like to give a donation to help cover the costs, feel free to do so below.
Donation (optional)

$

Payment

Credit Card

We accept Visa, MasterCard, American Express
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Territory

Post Code

Country

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Please fill these out for a feature game at the program.