Family; Friends@Zoom

Parent Name *

First

Last

Parent Email *

Parent Cell Phone *

Child's Name *

First

Last

Child's Age *

Tell us a little about your child so we can help plan fun activities and games for your virtual visit *

Option one (day of week and time) *

Option two (day of week and time) *

Comment or Message

Name

17950 N Military Trail

Boca Raton FL 33496

(561) 788-4388

An affiliate of Chabad of Boca Raton

Join Our Email List

First Name

Last Name

Email Address *