CSC 2019 - ChabadofTribeca.com

Cool Shul Connect 2019
Pay Per Event

Please select the amount of children attending each event below (max 3 children)
10/20, 10:00-11:30am, Brunch & Entertainment in the Sukkah

$95 per child
11/17, 11:00am-2:00pm, Big Apple Circus

SOLD OUT
12/08 , 11:00am-1:00pm, Chanukah Creations (ceramics!)

$95 per child
1/26, 1:00pm-4:30pm, Bounce!

$95 per child
2/09, 12:00pm-2:00pm, Chef for a Day

$95 per child
3/10, 4:00pm-5:30pm, Purim Packaging Party

$95 per child
4/26, 1:00pm-3:00pm, Games Galore

$95 per child
5/17, 10:00am-1:00pm, Fun in the Sun

$95 per child
6/07, 3:00pm-5:00pm, The Ride

$95 per child
Amount of Children Registering
I WOULD LOVE TO JOIN "COOL SHUL CONNECT" - REGISTRATION $400 ADDITIONAL SIBLING - $300
Personal Info
Parent's Full Name*

First Name Last Name
Parent's E-mail*
Parent's Phone Number*

Area Code Phone Number
Cool Shul Connect Member's Name*

First Name Last Name
Cool Shul Connect Member's DOB*

Month Day Year
Child 2: Cool Shul Connect Member's Name

First Name Last Name
Child 2: Cool Shul Connect Member's DOB

Month Day Year
Child 3: Cool Shul Connect Member's Name

First Name Last Name
Child 3: Cool Shul Connect Member's DOB

Month Day Year
Authorized Pick Up Consent
Full Name*

First Name Last Name
Phone Number*
Full Name

First Name Last Name
Phone Number
Full Name

First Name Last Name
Phone Number
Payment
Total

$0.00
*

I understand that no refunds or class credits will be given when cancellation is made within 10 days of the event date. Cancellations made more than 10 days from the event's date will be given a class credit. No refunds.

Payment

Credit Card

Credit Card Type
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Should be Empty:

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Cool Shul Connect 2019

Pay Per Event

Personal Info

Authorized Pick Up Consent

Payment