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YOUTH & TEENS Mommy and Me

Mommy and Me Challah Baking

Sunday, April 18 | 10:30-11:30am
311 Seabreeze Av.

For babies ages 6 months old - 3 years old

$25 per child
Limited space due to social distancing. Moms please wear masks!
Children's Information
Number of Children* $25 each
Child's Name*

First Name Last Name
Additional Children RSVP Names
Parent's Information
Parent's Name*

First Name Last Name
Religion
Facebook Name
Cell Phone*

Area Code Phone Number
E-mail*

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

How did you hear about the event?*

(Please be specific if it was thru Facebook... as in through which friend?)

Payment*

Credit Card

Credit Card Type
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Total

$0.00
Should be Empty:

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