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Junior Congregation Laser Tag & Arcade
Please verify reCaptcha before submitting the form.
*
First Name
*
Last Name
*
Best Contact Email:
*
Best Contact Phone Number:
*
Are you a CBY member?
Please Select One
I am a full member of CBY
I am an affiliate member
I am not a CBY member
The cost of the event is:
$15/full member
$17/affiliate members
$20/non-members.
Lunch will be served.
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Number of children attending
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Number of children attending
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*
Please list the names, grade completed, and school of all children attending:
For example:
Sarah, 5th, Yeshivat Noam
Rebecca, 6th, Yavneh
*
Please list any allergies:
Please fill out this waiver in order to attend -
https://waiver.roller.app/PowerUpArena/home?ubid=aOTZ_qpRQ0OXnVsrNewNVg
Please provide your own transportation.
For all questions, contact
jrcong@bnaiyeshurun.org
.
Total:
Sun, June 15 2025 19 Sivan 5785
