Pop-Up Mommy & Me! Registration Form

Join us for a special Sukkot-themed Mommy & Me class!

📅 Thursday, October 1
⏰ 10:00–11:00 AM
📍 Moshe Chaim Children’s Library at Chabad of the Beaches
570 W. Walnut St., Long Beach

Featuring:
💬 Mom-to-mom socializing
🎶 Sukkot sing-along
✨ Sensory play
🎨 Crafts
🌿 Lulav shakes!

Dedicated in loving memory of Moshe Chaim Buff A"H.
Full Name*
First Name Last Name
E-mail*
Phone Number*
1 Child's Name*
First Name Last Name
1 Child's Birthday*

Month Day Year
at Hour Minutes
2 Child's Name
First Name Last Name
2 Child’s Birthday

Month Day Year
at Hour Minutes
3 Child's Name
First Name Last Name
3 Child’s Birthday

Month Day Year
at Hour Minutes
$10 per Family

Thursday, October 1
Partner with us and sponsor a Mommy & Me class or session!

Contribute Towards a Class — $36Sponsor a class: $180
Photo Permission - We love capturing special Mommy & Me moments. Sharing these photos helps inspire other moms to join. Are you comfortable with us posting pictures?

Yes, no problem!No, thank youDepends — please ask me first
Questions or comments:
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Total

$0.00

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

State / Province

Postal / Zip Code

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