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Musical Munchkins Registration
Please verify reCaptcha before submitting the form.
Thursdays, February 2 to March 30, 2022 (skip February 16)
10:15 am - 10:55 am
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Child's First Name
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Child's Last Name
*
Child's Date of Birth
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Age
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First Name of Accompanying Adult
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Last Name of Accompanying Adult
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Accompanying Adult's Phone Number:
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Accompanying Adult's Email Address:
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Parent's Names
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Parent's Email Address:
Special requests or pertinent information to share:
Photo Authorization:
I hereby give permission to Kol Shalom to use photos of my child/children taken at Musical Munchkins in promotional publicity and ads.
Photo Authorization
Sign and Date
Member Status
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Member $160
Non-Member $200
Select Option to see rates
Wed, March 22 2023 29 Adar 5783