Channukah Party
Please share the name of Parent/Guardian #1
*
First Name
Last Name
Please share the name of Parent/Guardian #2
First Name
Last Name
Please share the name of child #1 attending the Channukah party
*
First Name
Last Name
Please share the name of child #2 attending the Channukah party
First Name
Last Name
Please share the email of Parent/Guardian #1
*
example@example.com
Please share the email of Parent/Guardian #2
example@example.com
Which Channukah Party will you be attending?
At the Kamin Education Centre (December 2, 2018 10:00 am - 11:30)
At the Posluns Education Centre (December 9, 2018 10:00 am - 11:30)
Both
Do you currently receive PJ Library Books?
Yes
No
Submit
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