Swish & Splash

Child Name

First NameLast Name

School

Grade

Parent Name

First NameLast Name

Phone Number

Format: (000) 000-0000.

Email

To Receive Confirmation

RSVP $15 / Participant

Payment method

Please Zelle - FrontDesk@ChabadFiveTowns - specify it is for the 7th & 8th grade boys event

After submitting this form - once you have sent the Zelle text Rabbi Meir or Hadassah

USD$15 / Participant

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