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Shabbat Circle in the Park
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1
Parent Name
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First Name
Last Name
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2
Parent Email
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3
Parent Cell
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4
Child Name
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First Name
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5
Child Age as of Sept 1, 2022
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6
Shabbat Circle in the Park
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Great Product Name
$20
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Great Product Name
$20
Quantity:
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Size:
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Great Product Name
$20
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$20
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ORDER SUMMARY
Total cost
USD
Shabbat in the Park Series
$10 suggested donation per family per session
$
50.00
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Shabbat in the Park Single Session
Single session donation per family
$
10.00
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Quantity
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First Name
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7
Choose your sessions
September 16
September 23
September 30
October 7
October 14
October 21
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8
Participation Waiver
*
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I hereby give my approval to his/her participation in any and all program activities. I assume all risks and hazards incidental to such participation including transportation to and from the activities; and do hereby waive, release, absolve, indemnify and agree to hold harmless the JCC of Northern NJ, JCC Rockland, its affiliates, the organizers, sponsors, supervisors, participants and persons transporting him/her to or from activities, for any claim arising out of injury to him/her, except to the extent and in the amount covered by accident or liability insurance. I understand that the JCC may occasionally record photographs, audio recordings and/or videos of people at our programs and published in promotional materials, including but not limited to web, social media and newspaper articles (“Promotional Materials”). I agree to allow the JCC of Northern NJ and JCC Rockland to use Promotional Materials of myself and/or my family.
Yes
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