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Pesach Day Camp

Child's Information
Child's Name*

First Name Last Name
Child's DOB*

Month Day Year
I would like to register for:*

Full April Session - $220Thursday, April 10 - $60Friday, April 11 - $60Tuesday, April 15 - $60Wednesday, April 16 - $60Thursday, April 17 - $60
Parents' Information
Father's Name*

First Name Last Name
Mother's Name*

First Name Last Name
Mother's Email*
Mother's Phone*
Payment Information
Sponsor a child's camp experience (optional)

Full Session - $220Individual Day - $60
Total

$0.00 USD

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