HoTY Jr. Goes Roller Skating

ALL TIOH 6th-8th Graders! Join us for a fun afternoon at Moonlight Rollerway in Glendale!
January 12, 2025
12:00-3:30pm – pizza lunch will be provided after Religious School!

Drop off and pickup will be at TIOH. We will be departing from TIOH at approximately 1pm on a bus for Moonlight Rollerway and will return at approximately 3:30pm.

Child Name(Required)

First Last

Child Date of Birth(Required)

MM slash DD slash YYYY

Child Grade(Required)

6th Grade

7th Grade

8th Grade

Allergies/Dietary Restrictions

Parent Name(Required)

First Last

Parent Phone Number(Required)

Parent Email Address(Required)

Emergency Contact Name(Required)

First Last

Emergency Contact Phone Number(Required)

Meals and Additional Purchases(Required)

I acknowledge that my child will be provided pizza at TIOH before leaving for the event. Any additional snacks or purchases are my responsibility.

Registration(Required)

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

Supported Credit Cards: American Express, Discover, MasterCard, Visa

Card Number

Expiration Date

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  Security Code Cardholder Name

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PLEASE NOTE: A waiver will be sent to the email address you listed above. Registration will NOT be complete until this waiver has been submitted.(Required)

I acknowledge that registration is not complete until this waiver has been submitted.