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Saturday, April 17, 2021 - 5 Iyyar 5781
 
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Jewish Birthday Club Registration Form

When was your child(ren) born?
If you would like your child's birthday to appear in the Jewish Art Calendar please click the appropriate button below.
Birthdays are $36 for the first one and $18 for each additional listing. Click here for Calendar information.
There is no fee to join the birthday club.

Child #1 Name
Date of Birth (mm/dd/yyyy)
What time were you born?  Morning   Evening or Night 
  Please add this birthday to the Jewish Art Calendar 
 
   
Additional Children

Child #2 Name
Date of Birth (mm/dd/yyyy)
What time were you born?  Morning   Evening or Night 
Please add this birthday to the Jewish Art Calendar   

   

Child #3 Name
Date of Birth (mm/dd/yyyy)
What time were you born?   Morning   Evening or Night 
 Please add this birthday to the Jewish Art Calendar  
 
Parent Name
Phone
Email
Address

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

 


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2001 W. Swann Ave. Tampa, FL 33606 - Rabbi Lazer Rivkin, Regional Director - 813-966-8770
Email: info@chabadofcentralflorida.com

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