12.22.19 Share Your Light!

Sunday, December 22, 2019
10:00–11:30 A.M.

Chabad House

1866 S 120th St.

Omaha, NE 68144

Join Tots (and their favorite adult) from throughout the community for this fun, interactive Hanukkah event!

- participate in special STEM activities about light
- hear a PJ Library story

- hang out with other families who have kiddos of a similar age!

Free and geared towards families with children ages 5 and under in the Jewish community and at the CDC, this program is a collaboration between PJ Library Omaha, Friedel Jewish Academy, and Chabad. A light snack will be provided. Older siblings welcome.

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* 1. Adult Attending

First Name

Last Name

ZIP/Postal Code

Email Address

Phone Number

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* 2. Second Adult Attending, If Any

First Name

Last Name

ZIP/Postal Code

Email Address

Phone Number

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* 3. Child's information

First Name

Last Name

Date of birth (mm/dd/yyyy)

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* 4. 2nd Child's information, if applicable

First Name

Last Name

Date of birth (mm/dd/yyyy)

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* 5. 3rd Child's information, if applicable

First Name

Last Name

Date of birth (mm/dd/yyyy)

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* 6. 4th Child's information, if applicable

First Name

Last Name

Date of birth (mm/dd/yyyy)

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* 7. How did you hear about this program? Please check all that apply.

Social Media

PJ Library e-News

Flyer

Friend/Family (please specify below)

Email (please specify below)

Synagogue (please specify below)

Website (please specify below)

Other (please specify below)

Provide clarification here for above answers:

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* 8. Photo release: PJ Library Omaha and Friedel Jewish Academy plan to take photos at this event and may use those photos for marketing purposes, including but not limited to, usage on their respective websites, newsletters, print materials, program promotions, Facebook page and other social media networks.

I agree to this photo release.

I would prefer photos of my family not be used/shared and understand that they may be given a color-coded name tag at the event to help facilitate my request.

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* 1. Adult Attending

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* 2. Second Adult Attending, If Any

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* 3. Child's information

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* 4. 2nd Child's information, if applicable

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* 5. 3rd Child's information, if applicable

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* 6. 4th Child's information, if applicable

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* 7. How did you hear about this program? Please check all that apply.

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* 9. Anything else you want us to know?