Purim 2025 | Oregon NCSY

Registration will close on Tuesday, March 11th at 8pm. Please make sure to register before then.

Purim 2025

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Parent Name*

First Last

Parent Email*

Parent Phone Number*

Number of Adults attending*

Please enter a number from 1 to 2.

Parent Two

Name*

First Last

Email*

Phone*

Number of children attending*

Please enter a number from 1 to 4.

Child one

Name*

First Last

Grade*

School Name*

Child Two

Name*

First Last

Grade*

School Name*

Child Three

Name*

First Last

Grade*

School Name*

Child Four

Name*

First Last

Grade*

School Name*

Do you have any dietary restrictions? Please list them here.

How many people are you paying for?

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Address

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