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Adath Israel B'Nai Mitzvah Club 2025
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Adult 1 - First Name
Adult 1 - Last Name
Adult 1 - Email
Adult 1 - Mobile Phone
Adult 1 - Address
Adult 1 - City
Adult 1 - Postal Code
Adult 1 - Home Phone
Is there a second adult on the account?
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No
Adult 2 - First Name
Adult 2 - Last Name
Adult 2 - Email
Adult 2 - Mobile Phone
Does the second adult live at the same address as adult 1?
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No
Adult 2 - Address
Adult 2 - City
Adult 2 - Postal Code
Adult 2 - Home Phone
*
Child - First Name
*
Child - Last Name
*
Child - Gender
*
Child - Birth Date
Child - Hebrew Name
Transliterated
Total Deposit
Sat, 31 August 2024 27 Av 5784