CKids Clubs 2023 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 (7) Rosh Hashana Street Fair (Sept 10) Sukkot World (Oct 4) The Chanukah Bucket Filler (Dec 3) Tu B’Shvat Camping Trip (Jan 14) Shabbat Island (Feb 11) Purim Comicon (Mar 10) Seder Circus (Apr 7) 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 7 Events Rosh Hashana Street Fair (Sept 10) Sukkot World (Oct 4) Chanukah Bucket Filler (Dec 3) Tu B’Shvat Camping Trip (Jan 14) Shabbat Island (Feb 11) Purim Comicon (Mar 10) Seder Circus (Apr 7) 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 (7) Rosh Hashana Street Fair (Sept 10) Sukkot World (Oct 4) Chanukah Bucket Filler (Dec 3) Tu B’Shvat Camping Trip (Jan 14) Shabbat Island (Feb 11) Purim Comicon (Mar 10) Seder Circus (Apr 7) 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 (7) Rosh Hashana Street Fair (Sept 10) Sukkot World (Oct 4) Chanukah Bucket Filler (Dec 3) Tu B’Shvat Camping Trip (Jan 14) Shabbat Island (Feb 11) Purim Comicon (Mar 10) Seder Circus (Apr 7) Parent Participation I will be attending with my child(ren). My child(ren) I will be attending alone. Total $0.00 Credit Card*
