REGISTER for KIDS WITH CHARACTER 
Session 2:  HACHNASAT ORCHIM (The Welcome Inn!)
Jan. 7, 14, 21, 28; Feb 4, 11
$75/6 sessions

Child's Name   Age 

Child's Name   Age 

Child's Name   Age 

Email address 

Address  

City     State      Zip 

Phone 

Card Type MCVisaAmex    Amount to charge $ 

Name as it appears on Card:

First Name   Last Name 

Card Number   

 Expiration Date  

Parent's Name(s)

I give permission to use pictures of my children in public settings like facebook, advertising and on Chabad's website. 

I do not give permission to  use pictures of my children in public settings like facebook, advertising and on Chabad's website.