Jewish Pride on Ice

My Child Attends

Sunday Hebrew School TrackTuesday Hebrew School TrackClub13 Bar Mitzvah ClubBat Mitzvah ClubYoung Leadership ClubCteen 9-12th Grade
We do not currently attend Chabad Five Towns

and would like to join JEWISH PRIDE on Ice
Parent Name*

First NameLast Name
Cell Phone Number*
Email*
example@example.com
Please List Names & Grades of Children Attending
Families are encouraged to join*

I understand that parents are encouraged to join, children in grades 7 & older can come without a parent

Jewish Pride on Ice Payment - Admission Includes Skates, Pizza & Activities*

Kids Admission

$10.00 Number of Kids Joining

Adult Admission

$10.00 Number of Adults Joining

I would like to make an additional contribution to help cover the costs of the event

$36.00

Total

$0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country