subject_line
CHILD'S FIRST NAME
*
CHILD'S LAST NAME
*
CHILD'S HEBREW NAME
*
BIRTHDAY
*
+
GRADE
*
PARENT'S EMAIL
*
PRIMARY CONTACT PHONE NUMBER
*
EMERGENCY CONTACT PHONE NUMBER
*
ALLERGY INFORMATION
MEDICAL INFORMATION
PAYMENT
*
4 INSTALLMENTS OF $500 EACH (EVERY 2 MONTHS)
DONATE/SPONSOR (OPTIONAL)
Donor ($1800)
Sponsor ($3000)