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Play & Pray: Bugs on Wheels

Play & Pray: Bugs on Wheels

* Family Name

* Email Address

* Cell Phone Number

* Number of Adults

* Adult 1 First Name

* Adult 1 Last Name

* Adult 2 First Name

* Adult 2 Last Name

* Adult 3 First Name

Adult 3 Last Name

* Adult 4 First Name

* Adult 4 Last Name

* Adult 5 First Name

* Adult 5 Last Name

* Adult 6 First Name

* Adult 6 Last Name

* Adult 7 First Name

* Adult 7 Last Name

* Adult 8 First Name

* Adult 8 Last Name

* Adult 9 First Name

* Adult 9 Last Name

* Adult 10 First Name

* Adult 10 Last Name

* Number of Children

* Child 1 First Name

* Child 1 Last Name

* Child 1 Age

* Child 2 First Name

* Child 2 Last Name

* Child 2 Age

* Child 3 First Name

* Child 3 Last Name

* Child 3 Age

* Child 4 First Name

* Child 4 Last Name

* Child 4 Age

* Child 5 First Name

* Child 5 Last Name

* Child 5 Age

* Child 6 First Name

* Child 6 Last Name

* Child 6 Age

* Child 7 First Name

* Child 7 Last Name

* Child 7 Age

* Child 8 First Name

* Child 8 Last Name

* Child 8 Age

* Child 9 First Name

* Child 9 Last Name

* Child 9 Age

* Child 10 First Name

* Child 10 Last Name

* Child 10 Age

Additional Notes (e.g. Food Allergies)

Fri, June 6 2025 10 Sivan 5785

VISIT US

5725 Walnut Lake Road

West Bloomfield, MI 48323

CALL US

248.661.5700

EMAIL US

info@temple-israel.org

FOLLOW US

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