Chalutzim Event

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Sunday, September 28, 2025 • 6 Tishrei 5786

12:15 PM - 1:45 PMSH & Library

Register

Parent/Guardian's Name

Phone Number

Email Address

Child's First Name

Child's Last Name

Child's Grade

Child's First Name

Child's Last Name

Child's Grade

* Please select the date(s) your child(ren) be attending

September 28 (12:15-1:45)October 26 (12:15-1:45) see below for additional information needed 1 Child-November 9 (12:15-1:45) $10 contribution toward supplies 2 Children-November 9 (12:15-1:45) $10 contribution toward suppliesDecember 14 (12:12-1:45) see below for additional information needed

October 26

#1 Grandparent Name

#2 Grandparent Name

Would you like us to pair your child with a grandparent
YesNo

December 14

Please select all that apply
I am avaiable to drive and transport other children. See box belowI am available to stay with the group at Solana

How many children including your own can you transport

Will they be come directly from Religious School

Does your child have an allergies?

Any Questions or Concerns

Total Due

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