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SHOMREI EMUNAH YOUTH SURVEY
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*
Child's Last Name
*
Child's First Name
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Date of Birth
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What grade is your child in or going into?
*
Street Address
*
City/State/Zip
Child's Email
Parent's Email
Allergies
Group / Event Attendance (please indicate below)
Does not attend any events
Attends Shabbos and Weekday Groups/Events
Attends Shabbos Groups/Events only
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Fri, March 21 2025
21 Adar 5785
Fri, March 21 2025 21 Adar 5785
