Rosh Hashana Wonderland

Rosh Hashana Wonderland takes place on September 12 & 13
10:45 AM-11:45 PM
at Chabad of Southampton Jewish Center
214 Hill Street
Southampton Village
How many children will you be registering?
We will be attending*

Day 1Day 2Both
Child's Name*
First Name Last Name
Child's Age*
Child 2 Name
First Name Last Name
Child 2 Age
Child 3 Name
First Name Last Name
Child 3 Age
Child 4 Name
First Name Last Name
Child 4 Age
Child 5 Name
First Name Last Name
Child 5 Age
Mom's Name*
First Name Last Name
Mom's E-mail*
Mom's Phone Number*
Dad's Name*
First Name Last Name
Dad's E-mail*
Dad's Phone Number*

Mailing Address*

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