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Beyond B'nai Interest Form
Session Dates: 7.10.23 - 7.24.23
Address: 2A Liberty, Aliso Viejo, CA 92656
Contact us at (949) 445-2620, (949) 344-1448, or
beyondbnai@gmail.com
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Child's Name
*
Your answer
Parent's Name
*
Your answer
Parent Email
*
Your answer
Parent's Phone Number
*
Your answer
Dietary restrictions
*
None
Vegetarian
Vegan
Kosher
Gluten-free
Other:
Does your child have any allergies?
*
Yes
No
Please specify ANY and ALL allergies if applicable
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Emergency Contact #1 Name
*
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Emergency Contact #1 Phone Number
*
Your answer
Pickup Authorization: Who is authorized to pick up your child? Please include full legal name
*
Your answer
I understand that I will have to pay $500 upon arrival
*
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Do you have any additional questions? Feel free to include them below, or reach out to us at (949) 445-2620, (949) 344-1448, or
beyondbnai@gmail.com
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