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First name
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Last name
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Birthday
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Month
Month
Day
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What school you are attending?
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What time do you end school?
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What days are you free to do chesed hours?
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How many hours a day can you do chesed hours?
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Do you need a way to get there and back home?
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Or do you prefer walking distance?
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Yes
No
Do you want to do chesed hours with a friend or by yourself is fine?
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By myself
With a friend
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Mothers seeking help
First name
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Last name
*
Phone
*
Email
*
Address
Please, check bellow what kind of help you need:
Multi choice
Mothers helper
After school help with the kids
Tutoring
Or anything specific (write us bellow)
Answer
Location where you need help:
Time of help needed
Time
:
AM
Starting date:
Number of the days that help is needed
How many kids you have:
Write here if you have additional requiermants:
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