Shavouth 2022 Parent/Guardian Name(Required) First Last Address(Required) Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone(Required)Email(Required) Shavuoth Family Celebrations(Required)I plan on attending the Shavuoth Family Celebration at Morning - Central Avenue Synagogue in Highland Park - 11:00 am Afternoon - Chabad of Deerfield at 4:30pm Child InformationNumber of Children(Required)01234Child Name(Required) First Last Hebrew Name(Required) Date of Birth(Required) MM slash DD slash YYYY Child #2 InformationChild Name(Required) First Last Hebrew Name(Required) Date of Birth(Required) MM slash DD slash YYYY Child #3 InformationChild Name(Required) First Last Hebrew Name(Required) Date of Birth(Required) MM slash DD slash YYYY Child #4 InformationChild Name(Required) First Last Hebrew Name(Required) Date of Birth(Required) MM slash DD slash YYYY Donation AmountDonation not required, but appreciated!$0.00$18.00$36.00$54.00$72.00$180.00Donation Total We appreciate your generosity towards the future of the Dr. Sue Library!Credit CardCard Details Cardholder Name Questions? Contact michla@nschabad.orgUntitled Post CategoryDr. Sue's Parsha Parenting Tips!UncategorizedUpcoming Programs, Events & ClassesUpdates
