Reserve your spot now!                                     
Parents Name (first & last):  Email:  
Cell Phone:  Address, City, Zip:
    
 
  How many children will be making a menorah?         
Tell us about them!


Child 1 Name:  

Child 1 Age:  

     
Child 2 Name:  Child 2 Age: 


Child 3 Name:  Child 3 Age: 


Child 4 Name:  Child 4 Age: 


Child 5 Name:  

Child 5 Age: 


**Please include child's last name if differs from parents name.

**Additional children can be written in the comment box below. 

How did you hear about this event? 
 

                                                                

   We look forward to seeing you there!