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Purim Carnival Registration

Advance purchase of a wristband and food by March 1 is preferred.

Wristbands and meal vouchers will be given to students in their Religious School classrooms on Sunday, March 5.

Pre-purchased wristbands and meal vouchers by non-Religious School families will be available for pick up at the event.

Wristband Purchase

Parent name(s)

Number of children attending with your family:

Child Name(s), Lunch Purchase & Allergy Info

1st child's name

Lunch Option

Does this child need an allergy-friendly treat? (No milk, eggs, fish, shellfish, tree nuts, peanuts, wheat, and soy)

Each wristband purchase receives one free hamentashen if registering before March 1.

2nd child's name

Lunch Option

Does this child need an allergy-friendly treat? (No milk, eggs, fish, shellfish, tree nuts, peanuts, wheat, and soy)

Each wristband purchase receives one free hamentashen if registering before March 1.

3rd child's name

Lunch Option

Does this child need an allergy-friendly treat? (No milk, eggs, fish, shellfish, tree nuts, peanuts, wheat, and soy)

Each wristband purchase receives one free hamentashen if registering before March 1.

4th child's name

Lunch Option

Does this child need an allergy-friendly treat? (No milk, eggs, fish, shellfish, tree nuts, peanuts, wheat, and soy)

Each wristband purchase receives one free hamentashen if registering before March 1.

5th child's name

Lunch Option

Does this child need an allergy-friendly treat? (No milk, eggs, fish, shellfish, tree nuts, peanuts, wheat, and soy)

Each wristband purchase receives one free hamentashen if registering before March 1.

6th child's name

Lunch Option

Does this child need an allergy-friendly treat? (No milk, eggs, fish, shellfish, tree nuts, peanuts, wheat, and soy)

Each wristband purchase receives one free hamentashen if registering before March 1.

Extra Food for Purchase

Name of person picking up the extra food order.

First and Last

Hot Dog Lunch (Hot dog, chips, drink)

Nacho Lunch (Nachos, cheese, drink)

Hot Pretzel

Hamentashen (each)

Event Sponsorship

Sponsor a game booth! (Sponsorships come with a sign honoring someone special.)

Sponsorship info as you'd like it to appear:

Account Details

Enter your name and e-mail address for your confirmation:

*E-mail

*First Name

*Last Name

Payment Information

Account

Online Fee:

Credit Card

Name on Card

Card Type

Card Number

Expiration Date

Card Verification Number

Address Line 1

City

State/Province

Zip

Comments

Increase the amount by 3% to cover credit card fees. Please select YES to increase your payment.

Total:

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