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Ckids Club Registration
Taking Place at the beautiful Coastal Roots Farm in Encinitas.
441 SAXONY RD. ENCINITAS, CA 92024
Click here to learn more about the Farm
Registrant Information
Name of Adult*
First NameLast Name
E-mail*
Number of Children attending*
Names and Ages of Children*
How did you hear about this event?*
We ask the following questions to better understand the community we are serving. These questions are optional.
Are you Jewish?
yesnoprefer not to answer

Address

Additional notable Information
Coastal Chabad and Coastal Roots Farm are committed to providing educational experiences to everyone in our community, regardless of ability to pay. The Ckids events are pay-what-you-can.
The suggested donation for this event is $18 per child
Pay What You Can (Suggested $18 per child)*
$18$36$54
Total
$0.00
Yes, I'd like to donate the cost of processing this transaction by adding 2.9%

Payment*

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Postal / Zip Code

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Ckids Club Registration