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DOROT Westchester

 



Passover Package Delivery 2017

Sunday, April 2, 2017

Family Volunteer Registration Form

Thank you for your volunteer interest in the Passover Package Delivery Program.
This is your first step to register for the program.

(for adults visiting with children under 18)

* indicates required fields

*




For adults visiting without children under 18, please click here to register as an adult.

 

Adults Visiting with Children Under the Age of 18

 

Parent or Guardian 1:

 

*

*

*

*

 

*

*

State / Province:

*

 


*

 
 

*




 

 


 

In addition to English, I speak the following language(s):

 

 

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Adults Visiting with Children Under the Age of 18

 

Parent or Guardian 2:

 

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The following child(ren) will be participating:
  Child 1:

*

 


*

 


 
Child 2:

 

 
Child 3:

 

 
Child 4:

 

 

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Question - Not Required - Please indicate if you/your family are allergic to (check all that apply):

*


 
A professional photographer will be taking pictures to document the event. Please know that while participating, you may be photographed and your image may be used in DOROT’s public relations and fundraising materials. Camera shy? Please uncheck this box and ask for a related sticker at the Registration Table. At the event, feel free to inform our photographer that you would rather not have your picture taken.
 

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