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Your Registration Info
First Name
*
Last Name
*
Email Address
*
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Event Fee(s)
# of child attending
*
- select # of child attending -
1 Child - $ 0.00
2 Children - $ 0.00
3 Children - $ 0.00
4 Children - $ 0.00
5 Children - $ 0.00
6 Children - $ 0.00
7 Children - $ 0.00
8 Children - $ 0.00
9 Children - $ 0.00
10 Children - $ 0.00
# of adult attending
*
- select # of adult attending -
1 Adult - $ 0.00
2 Adults - $ 0.00
3 Adults - $ 0.00
4 Adults - $ 0.00
5 Adults - $ 0.00
6 Adults - $ 0.00
7 Adults - $ 0.00
8 Adults - $ 0.00
9 Adults - $ 0.00
10 Adults - $ 0.00
Optional Tax Deductible Donation
$50
$100
$180
$360
$1000
- none -
Total
Event participant names
Please type the names of each person attending (for security reasons)
*
Register
JEMS
admin@jems.org.au
|
Rabbi Yossi - 0450 524 770
|
36 Flood Street, Bondi NSW 2026 AUSTRALIA
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