Rollerskating with TBY Youth - Event - Temple Bat Yahm

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Rollerskating with TBY Youth

Sunday, May 1, 2022 • 30 Nisan 5782

12:30 PM - 3:00 PM

Guardian First Name

Guardian Last Name

Email

Mobile Phone Number

* Affiliation

Temple Bat YahmBeth Jacob Congregation - IrvineChabadCongregation B'nai IsraelCongregation B'nai TzedekShir Ha-ma'alotTarbut v'TorahTemple Beth El SOCTemple Beth SholomTemple Isaiah of Newport BeachUniversity SynagogueUnaffiliatedOther

Other - Please explain

Number of Children Attending

* Child's Full Name

Grade

* Additional Child's Full Name

Additional Child's Grade

* Additional Child's Full Name

Additional Child's Grade

* Additional Child's Full Name

Additional Child's Grade

* I understand that by registering my child after Thursday, April 28th, I must drive my child to the Fountain Valley Skating Center

I understand that by registering my child after Thursday, April 28th, I must drive my child to the Fountain Valley Skating Center

Additional Donation to the Youth Engagement Fund

Total

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Wed, May 18 2022 17 Iyar 5782

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