Jewish Birthday Club! - Chabad Richmond

How many kids from one family are registering?* A max of 3 kids can register using 1from
Name of child*
First Name Last Name
Jewish Date*
Jewish Month*
Jewish Year*
Name of #2 child*
First Name Last Name
Jewish Date*
Jewish Month*
Jewish Year*
Name of #3 child
First Name Last Name
Jewish Date
Jewish Month
Jewish Year
Parents Phone Number* To contact parent about shabbat birthday party
Parents E-mail* To contact parent about shabbat birthday party

Mailing Address* To deliver birthday package

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