Cool Shul Connect 2019Pay Per EventPlease 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 child11/17, 11:00am-2:00pm, Big Apple CircusSOLD OUT12/08 , 11:00am-1:00pm, Chanukah Creations (ceramics!)$95 per child1/26, 1:00pm-4:30pm, Bounce!$95 per child2/09, 12:00pm-2:00pm, Chef for a Day$95 per child3/10, 4:00pm-5:30pm, Purim Packaging Party$95 per child4/26, 1:00pm-3:00pm, Games Galore$95 per child5/17, 10:00am-1:00pm, Fun in the Sun$95 per child6/07, 3:00pm-5:00pm, The Ride$95 per childAmount of Children RegisteringOne Child - $8002 Children - $1,6003 Children - $2,4004 Children - $3,200I WOULD LOVE TO JOIN "COOL SHUL CONNECT" - REGISTRATION $400ADDITIONAL SIBLING - $300Personal InfoParent's Full Name*First NameLast NameParent's E-mail*Parent's Phone Number*Area CodePhone NumberCool Shul Connect Member's Name*First NameLast NameCool Shul Connect Member's DOB*MonthDayYear Child 2: Cool Shul Connect Member's NameFirst NameLast NameChild 2: Cool Shul Connect Member's DOBMonthDayYear Child 3: Cool Shul Connect Member's NameFirst NameLast NameChild 3: Cool Shul Connect Member's DOBMonthDayYear Authorized Pick Up ConsentFull Name*First NameLast NamePhone Number*Full NameFirst NameLast NamePhone NumberFull NameFirst NameLast NamePhone NumberPaymentTotal$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.PaymentCredit CardVisaMasterCardAmerican ExpressDiscoverCredit Card TypeCredit Card NumberSecurity CodeName on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - DecemberExpiration Month2021202220232024202520262027202820292030Expiration YearBilling AddressStreet AddressStreet Address Line 2CityState / ProvincePostal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOtherCountrySubmitShould be Empty: This page uses TLS encryption to keep your data secure.