Child Registration

Friday, April 26, 2024 - 18 Nisan 5784


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CANDLE LIGHTING

6:44 PM in Tampa, FL
Shabbat Ends 7:39 PM
Friday, 26 April 2024
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Child Registration

Fields marked with an asterik * are required.

Child Information

Child's First Name:*
Child's Last Name:*
Gender:
Age:
Day of Birth (DD/MM/YYYY) :
School:
Grade:

Parent Information

Parent / Guardian:
Email Address:*

Contact Information

Mailing Address:
City:
State / Province:
Country:
Zip Code / Postal Code:
Phone Number:*

Comments/ Concerns/ Areas of interest/ Other important information:

Friends @ Home

When would you like the volunteers to come and visit your home?

1st choice

Day of the week:

Time:

2nd choice

Day of the week:

Time:

Do you prefer having:

The same volunteers as last year, if applicable

New volunteers

It is our pleasure to provide you with our Friends at Home service. However it is necessary for parent/guardian to assume responsibility to oversee activities shared together.

I/We agree that a parent or legal guardian will be home at all times while volunteers are interacting with my/our child.

*Type the code you see in the picture below.(Letters are not case-sensitive)

©Copyright Merkos Chabad Lubavitch of Central Florida
2001 W. Swann Ave. Tampa, FL 33606 - Rabbi Lazer Rivkin, Regional Director - 813-966-8770
Email: info@chabadofcentralflorida.com