Registration Costs
 
 

Adult 

$18

*Child (12 and under)

$8

   

Personal Info:
First Name:    *
Last Name:    *
Phone:    *
E-Mail:    *
Address:    *

 
 June 13        Adult        Child 

 

Payment Info:
 Total amount to charge cc 

Card type:

Card number:

Charge Amount:
Exp date:  
CVV    

  I will mail in a check made payable to Chabad of NW Metor Denver: 
4505 W 112 Ave Westminster, CO 80031