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HIGH HOLIDAY Registration

Your Information
First Name
Last Name
Address
City, State, Zip
Email
Phone
 
Your Registration
High Holiday Services I plan to attend:
Day 1 Rosh Hashanah Day 2 Rosh Hashanah Yom Kippur

Number of adults attending:

Number of children attending:

 

Number of adults attending:

 

Number of children attending:

 

 

Number of adults attending:

Number of children attending:

 

How did you hear about us?

Optional Donation
Participation in all High Holiday programs is free. Consider a donation to help cover the costs of these and other wonderful and vital programs that Chabad Jewish Center brings to our community.
Please charge my card:
$
Card Number
Expiration:
CVV Code What's This?
Name on Card
 
 

For Children