USY Chaverim Program - Form - Congregation Rodeph Sholom

USY Chaverim Program

USY Chaverim Program RSVP Form

* Name of event

* Date of event

* Child's First Name

* Child's Last Name

Child's Grade

Child's Age

Child's cell phone (if available)

Child's Email Address (if available)

Do you have more than one child attending this event?

* Child's First Name

* Child's Last Name

Child's Grade

Child's Age

Child's cell phone (if available)

* Last Name

* First Name

* Last Name

* Email

Mobile Number

Are you a member of Rodeph Sholom?

NoYes

* Permission to Attend

By placing my name here permission is hereby granted by the undersigned parent(s) or guardian(s) for my child(ren) to attend the event at Congregation Rodeph Sholom

Please contact Josh Ackman with any questions.
Youth@rsholom.org

Tue, April 23 2024 15 Nisan 5784