This form is currently closed. Parent's Full Name* First Name Last Name E-mail* Cell Number* Area Code Phone Number How many kid/s are you registering for?* Kid 1 Full Name* Full session or pick a class?* Full Session - All 6 classes ($72)Pick a Class ($18 each) Pick a class to join:* Nov 4 - CupcakesNov 11 - Challah RollsNov 18 - Fruit KebabsNov 25 - SaladDec 2 - Chocolate PuddingDec 9 - Doughnuts Kid 2 Full Name* Full session or pick a class?* Full Session - All 6 classes ($72)Pick a Class ($18 each) Pick a class to join:* Nov 4 - CupcakesNov 11 - Challah RollsNov 18 - Fruit KebabsNov 25 - SaladDec 2 - Chocolate PuddingDec 9 - Doughnuts Kid 3 Full Name* Full session or pick a class?* Full Session - All 6 classes ($72)Pick a Class ($18 each) Pick a class to join:* Nov 4 - CupcakesNov 11 - Challah RollsNov 18 - Fruit KebabsNov 25 - SaladDec 2 - Chocolate PuddingDec 9 - Doughnuts Would you like to make a donation? YesNot this time Donation Amount $50$75$100 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 Month2025202620272028202920302031203220332034 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 Doba Yarmush at 347-296-9500 or email [email protected] Should be Empty: This page uses TLS encryption to keep your data secure.