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Boynton Beach Community Upcoming Noteworthy Community Happenings

Bagles and Blocks RSVP Form

Sign up for the upcoming Bagles & Blocks Session!
Dates: January 9 ^th to May 1 ^st .

(16 classes)

No Class on April 3 ^rd (Pesach)

Cost:

Registration fee: $25

Early Bird Discount if you register before December 15 ^th - $240

After December 15 ^th - $272

for more information call 561 742 1083

or email [email protected]
Child's Name*

First Name Last Name
Birth Date*

Month Day Year
Gender*

Male Female
Parents Name

First Name Last Name
Phone Number*

Area Code Phone Number
E-mail*

Payment*

Credit Card

Credit Card Type
Credit Card Number	Security Code
Expiration Month	Expiration Year

Amount*

$
Should be Empty:

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