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!