Kindness Club - ChabadRT.org

Address*

Home Phone Number:*

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Mother's (or guardian's) Name:*
Cell Phone Number:*

Area Code Phone Number
E-mail:*
Father's (or guardian's) Name:*
Cell Phone Number:*

Area Code Phone Number
E-mail:
Student Information:
Grade entering in September 2023*
Student's E-mail:*
Cell Phone Number:*

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Best method of contact:*

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Additional Comments:
Membership Fees:*

$150$125 since I referred a new friend
Name of Friend:
Phone Number:

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Price includes all session, supplies, activities and snacks.

Limited scholarships available.
Total

$0.00

Payment

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