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Program Registration and Materials Request Form                             





Programs of the Robert I. Lappin Charitable Foundation are free for Jewish and interfaith families who live or are affiliated with a Jewish institution in the Foundation service area.

First name of participant  Last name
First name of partner   Last name of partner (if different)  
Names and DOB for children if participating  
Child one     D.O. B. 00/00/0000 month day year
Child two     D.O. B. 00/00/0000 month day year
Child three   D.O. B. 00/00/0000 month day year
Child four     D.O. B. 00/00/0000 month day year
Address    Apt. #  
Town        State      Zip
Home phone Email
Date of program Name of Preschool
Mother's religion Father's religion

Program name

Jewish Pride Resource Materials
(No residency requirement.)


Welcome to the Community Gift
PJ Library



Great Achievements of the Jewish People Documentary
       (Please indicate VHS or DVD in Comments.)
Magic of Sh’ma Poster, Wallet Card or Journey of Faith DVD
Recipe Magnet
Great Jewish Achievers Documentary (VHS Only)
Jewish Pride Posters
Comments