Jewish Birthday Club

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Ages 3-13
Child's #1 Full Name
First NameLast Name
Child's Hebrew Name (if applicable)
Birth Date
MonthDayYear
Place of Birth
What time of day were you born?
MorningAfternoon or evening before midnight
If born in the afternoon or evening, what time were you born?
To determine the date of your Hebrew birthday
Child #2 Full Name
First NameLast Name
Child's Hebrew Name (if applicable)
Birth Date
MonthDayYear
Place of Birth
What time of day were you born?
MorningAfternoon or evening before midnight
If born in the afternoon or evening, what time were you born?
Child #3 Full Name
First NameLast Name
Child's Hebrew Name (if applicable)
Birth Date
MonthDayYear
Place of Birth
What time of day were you born?
MorningAfternoon or evening before midnight
If born in the afternoon or evening, what time were you born?
Child #4 Full Name
First NameLast Name
Child's Hebrew Name (if applicable)
Birth Date
MonthDayYear
Place of Birth
What time of day were you born?
MorningAfternoon or evening before midnight
If born in the afternoon or evening, what time were you born?
Parent's Name
First NameLast Name

Address

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