Kitot Gimel-Hey Grades 3-5 Lunch Registration

Name(Required)

First Last

Email(Required)

Phone(Required)

Child(ren)'s Name(s) and Grade(s)(Required)

Press the + symbol to add multiple children

Full Name

Grade

Emergency Contact Phone Number(Required)

Are there any special dietary needs?

Allergies, etc.

Which date(s) do you plan to attend?(Required)

October 20, 2024

November 17, 2024

December 15, 2024

January 12, 2025

February 9, 2025

March 16, 2025

April 6, 2025

May 4, 2025

Kitot Gimel Hay Ticket(s) (Required)

For each child attending | MUST BE GRADE 3-5

Price: $15.00

Convenience Fee

Price: $0.00

Total

Payment Method

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

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