Chanukah Form

Come celebrate Chanukah and show your appreciation to our heroic firefighters!

We will light the Menorah with the men of the FDNY, check out their cool equipment, learn about fire safety, order them dinner, show our appreciation and sing the national anthem.

Wednesday, December 21st, 4:30pm @ 42 South St, New York, NY 10005.
Full Name*

First Name Last Name
E-mail*
How Many Children?*
Name of Child #1*

First Name Last Name
Age*
Name of Child #2*

First Name Last Name
Age*
Name of Child #3*

First Name Last Name
Age*
Does your child have any allergies we should be aware of?*
Suggested Donation $18 | Sponsor $360

$

Payment

Credit Card

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

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