KITK TOP.jpg

 

 

בס"ד

 

 

Kids in the Kosher Kitchen 
REGISTRATION 

Family Name:
Mother's Name:
Father's Name:
Child's Name:
Date of Birth:
E-mail:
 
Sessions attending:
  Full Progran     
  September 24  December 12 January 21 
  February 26     May 13  

Total Amount:

Payment Method:
Name on Credit Card:
Credit Card Number:
Code:
Expiry Date:
 
Please list any food allergies: