Ckids Purim Red Carpet 2023 – Dr. Sue Weisberg Children's Library

Parent/Guardian Information
Parent/Guardian Name*
First Last
Email*
Cell Phone*
Address*
Street Address Address Line 2 City State ZIP Code
Number of Children Registering
Child 1 Information:
Child Name*
First Last
Age
Child 1 Attending:
- Pesach World Records
Child 2 Information:
Child Name*
First Last
Age
Child 2 Attending:
- Pesach World Records
Child 3 Information:
Child Name*
First Last
Age
Child 3 Attending:
- Pesach World Records
Section Break
Parent Participation
- I will be attending with my child(ren)
- My child(ren) I will be attending alone
Total
$0.00
Credit Card
Card Details
Cardholder Name

Parent/Guardian Information