LAG BA'OMER CELEBRATION

This form is currently closed.

Tuesday, May 5 @ 2:30-4:45 pm

This ticket includes:
- Admission to all attractions
- 1 burger, 1 hot dog, a drink, and a snack
- Group supervision until 4:45 PM
Cost: $30 per child, $20 for students enrolled in our Tuesday after-school martial arts program
Full Name*
First Name Last Name
Email*
Child 1 full name*
Child 2 full name
I acknowledge that my child(ren) will be participating in activities including jumping, playing in a public setting, and eating food during the event. I understand that, despite appropriate supervision, accidents or injuries may occur.

By signing below, I accept these risks and release Shaloh House, its staff, and organizers from any liability for any injuries or incidents that may arise.
Full Name*
First Name Last Name
PAYMENT
Payment* $30 per child. Please pay for EACH child attending

$
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

Country

This page uses TLS encryption to keep your data secure.