Scroll down to RSVP! Full Name* First Name Last Name E-mail* Phone Number Area Code Phone Number Number of children attending above age 2? Early Bird Special: $15/Child | After January 18th: $18/Child8 Number of children attending above age 2? Early Bird Special: $15/Child | After September 4th: $18/Child8 Please select 1 child $15 2 children $25 3 children $35 4 children $45 5 children $55 6 children $65 Number of children attending under 2 years old? FREE Sponsor a Survivor - $18 Sponsor Event - $180 Family: 18 Total $0.00 Payment Credit Card Paypal Check Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code Name on Card 1 - January 2 - February 3 - March 4 - April 5 - May 6 - June 7 - July 8 - August 9 - September 10 - October 11 - November 12 - December Expiration Month 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 Expiration Year Paypal has been selected. Payment will take place on the next page. Please send your check to: Chabad of Pinellas County 3696 Fisher Rd. Palm Harbor, FL 34683 Comments Submit Should be Empty: This page uses TLS encryption to keep your data secure.
CKIDS - YOUTH ZONE
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