Torah Tots - JewishDurham.com

TORAH TOTS REGISTRATION
Ages 0-3
CHANUKAH 2 WEEK MINI SESSION Tuesday, December 6th & December 13th at 10:30 am

Register below!
Child's Name* Ages 0-3

First Name Last Name
Hebrew Name
Birth Date*

Month Day Year

Address*

Additional notable Information
Parents Information
Father's Name*

First Name Last Name
Father Cell

Area Code Phone Number
Mother's Name*

First Name Last Name
Mother Cell

Area Code Phone Number
E-mail
Payment - $18 / 2 week mini Session
Discount - Half Price off 2nd Sibling
Price

$18 $27
Total

$0.00

Yes, I'd like to donate the cost of processing this transaction by adding 3%

Payment

Credit Card Interac, Cheque, Cash

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TORAH TOTS REGISTRATION