Machane TBA Primary Enrichment & Kehillot

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* Parent First:

* Parent Last:

* Parent Email:

Child 1: K-2nd grades ONLY

* Child 1 Name:

* Child 1 Grade:

* CHILD 1: Please select your desired Enrichment program(s) and/or Kehillah(ot): (Check all that apply)

Enrichment 1: Get Your Game On with PSA Sports ($175)Enrichment 2: DEI Labs: Lego Innovation ($175)Enrichment 3: KidsCreate Art ($175)Kehillah 1: Eric Energy’s Hanukkah Science Spectacular ($25)Kehillah 2: Spinny Basketball Show ($25)ALL Enrichment & Kehillah Programs: My child will attend all 5 ($575)

Child 2: K-2nd grades ONLY

Child 2 Name:

Child 2 Grade:

CHILD 2: Please select your desired Enrichment program(s) and/or Kehillah(ot): (Check all that apply)

Child 3: K-2nd grades ONLY

Child 3 Name:

Child 3 Grade:

CHILD 3: Please select your desired Enrichment program(s) and/or Kehillah(ot): (Check all that apply)

Food Allergies (Optional): Please share any food allergies in the space below.

Total Amount:

Sun, October 12 2025 20 Tishrei 5786

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