Lag B'Omer Show of Unity 5785

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Pre1A through 8th Grade will be attending the Lag B'Omer Show of Unity on Friday May 16th at the Saban Theater.

We will be back at school at 1:00PM in time for regular dismissal.
Parent Full Name*
First Name Last Name
E-mail*
Phone Number*

Area Code Phone Number
Number of children attending:*
Student 1 Full Name*
First Name Last Name
Student 1 Grade*
Student 2 Full Name*
First Name Last Name
Student 2 Grade*
Student 3 Full Name*
First Name Last Name
Student 3 Grade*
Student 4 Full Name*
First Name Last Name
Student 4 Grade*
Student 5 Full Name*
First Name Last Name
Student 5 Grade*
Consent*

I give permission for my daughter(s) to go to the Lag Baomer Unity Concert at the Saban Theater on May 16th and authorize medical care should it be necessary chas v'shalom.
Transportation*

I will be picking up my daughter(s) from the Saban Theater after the concert at 12pm.My daughter(s) will be taking the bus back from the Saban Theater to school and will arrive back at school at 1:00PM for regular dismissal.
Total

$0.00
Notes

Payment*

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

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