Mini Chefs - Sign Up

$40 - Fall season, 5 Wednesdays 5-6pm

 Father's First Name 
 Mother's First Name
 Postal Code
 Email Address

 Child's First Name
 Child's Last Name
 Birthday (mm/dd/yyyy)

 Emergency Contact Number

 I/We hereby authorize our child to participate in all Mini Chefs activities

Please charge my card in the  amount of:   $40  /   $  Other

Form of payment:

 Card Number
 Expiration Date

I will mail my check payable to Chabad of the Tri-Valley 
     784 Palomino Drive - Pleasanton, CA 94566

 Please provide any additional comments here: 


Questions? Please call (925) 846-0700

 or email: [email protected]