Boys Sports Club

Number of Children Registering

123
Child Information
Name

First Name Last Name
Grade
School
Child Information
Name

First Name Last Name
Grade
School
Child Information
Name

First Name Last Name
Grade
School
Parent Information
Name

First Name Last Name
Cell Phone Number
Please enter a valid phone number.
Email
example@example.com
All updates regarding this program will be sent out on WhatsApp by Hadassah Geisinsky*

I have saved Hadassahs number - 516-458-3694 to receive program updates
*

My family is Chabad MembersMy family is not Chabad Members

Payment

Registration Fee

$10.00 Number of Children Registering
Item subtotal:$0.00

Total

$0.00

Child Information