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Parents Mishloach Manot Form 2021
In addition to our Covid-guidelines friendly in-person Purim events and to-go option, Shabbos House can deliver special/personal Mishloach Manot packages of Purim treats to students on behalf of their families.
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Parents Mishloach Manot Purim Packages for Students:
This form must be submitted by noontime on Wednesday, Feb 24th so we can prepare it in time.
Yes, I'd love my student to get a specialized Mishloach Manot Purim package from me/us.
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Parents Name
Your answer
Parents Email
Your answer
Parents Cell
Your answer
Student Name
Your answer
Student Email
Your answer
Student Cell
Your answer
Student Location:
Your answer
(Based on availability) what are some treats your child especially enjoys?
Your answer
Please indicate any special food needs or allergies:
Your answer
Please include this text from us in the Purim Package:
Your answer
I/We will contribute to Shabbos House:
use donation page at
shabboshouse.org/donate
or see link at completion of this form.
$36 suggested donation
additional amount
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