Club Noar Cooking Class – Temple Israel of Hollywood

Club Noar – Cooking Class October 27, 2024

Child Name(Required)

First Last

Child Date of Birth(Required)

Child Grade(Required)

Kindergarten

First Grade

Second Grade

Allergies/Dietary Restrictions

We will be providing cheese pizza, chips, and Capri Sun

Parent Name(Required)

First Last

Parent Phone Number(Required)

Parent Email Address(Required)

Emergency Contact Name(Required)

First Last

Emergency Contact Cell Phone Number(Required)

I acknowledge I will be picking up my child at 2:00pm from TIOH.

Registration Fee

Amount:

Coupon

cc fees

I wish to cover credit card fees for the temple by increasing my total by 3%

Credit Card Fees

$0.00

Total

Credit Card(Required)

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Billing Address(Required)

Street Address Address Line 2 City State ZIP Code