Purim Event Registration

Registration Information

First Name *

Last Name *

Email *

Phone *

Street Address (Home) *

City (Home) *

Postal Code (Home)

Country (Home)

State (Home)

More Info

Amount of Adults

Amount of Kids

Optional Donation $

Thank you for enabling us to serve the community

Total

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *

Jewish Kids Club

office@jewishkids.club | (510) 859-8808 | Non profit 501(c)(3) ID # 83-0945973

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