CKids Clubs 2022 Sukkot Time Machine and Year Registration Parent/Guardian InformationParent/Guardian Name* First Last Email* Cell Phone*Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Number of Children RegisteringOneTwoThreeFourChild 1 Information:Child Name* First Last Birth Date* MM slash DD slash YYYY Child 1: Gender* Male Female Hebrew Name Child 1: Help us determine the Hebrew Birthday: Born during the day Born in the evening Born at dusk/ sunset Child 1 Attending:* All events (5) Sukkot Time Machine October 16th The Tie Dye Chanukah. December 18th Tu B’Shevat Resort A Luxury Spa for the Soul February 5th Red Carpet Purim March 5th Pesach World Records April 2nd Child 2 Information:Child Name* First Last Birth Date* MM slash DD slash YYYY Child 2: Gender* Male Female Hebrew Name Child 2: Help us determine the Hebrew Birthday: Born during the day Born in the evening Born at dusk/ sunset Child 2 Attending:* All events (5) Sukkot Time Machine October 16th The Tie Dye Chanukah. December 18th Tu B’Shevat Resort A Luxury Spa for the Soul February 5th Red Carpet Purim March 5th Pesach World Records April 2nd Child 3 Information:Child Name* First Last Birth Date* MM slash DD slash YYYY Child 3: Gender* Male Female Hebrew Name Child 3: Help us determine the Hebrew Birthday: Born during the day Born in the evening Born at dusk/ sunset Child 3 Attending:* All events (5) Sukkot Time Machine October 16th The Tie Dye Chanukah. December 18th Tu B’Shevat Resort A Luxury Spa for the Soul February 5th Red Carpet Purim March 5th Pesach World Records April 2nd Child 4 Information:Child Name* First Last Birth Date* MM slash DD slash YYYY Child 4: Gender Male Female Hebrew Name Child 4: Help us determine the Hebrew Birthday: Born during the day Born in the evening Born at dusk/ sunset Child 4 Attending:* All events (5) Sukkot Time Machine October 16th The Tie Dye Chanukah. December 18th Tu B’Shevat Resort A Luxury Spa for the Soul February 5th Red Carpet Purim March 5th Pesach World Records April 2nd Parent Participation I will be attending with my child(ren). My child(ren) I will be attending alone. Total $0.00 Credit Card*
