This form is currently closed. PLEASE NOTE THIS EVENT HAS BEEN CANCELED FOR MARCH 7TH 2026 Parent's Full Name* First Name Last Name E-mail* Cell Number* Area Code Phone Number How many kid/s are you registering for?* Please add the name/s of the kid/s: I Plan on Coming for Feb 7, 2026March 7, 2026 Would you like to make a donation? YesNot this time Donation Amount $54$108$180$500$1000$1800 Total $0.00 Payment Credit Card Paypal eCheck Cash/Check Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Name on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Expiration Month2026202720282029203020312032203320342035 Expiration YearPaypal has been selected. Payment will take place on the next page. Bank Name Routing Number Account NumberCheckingSavingsBusiness Account TypeI will pay in person or mail a check For more info: Visit www.harfordchabad.org Contact Fraida Schusterman at 443-353-9718 or email [email protected] Should be Empty: This page uses TLS encryption to keep your data secure.
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