Rosh Hashanah @ Home Kit Order Form:

Are you the child(ren)'s primary parent or guardian?*

Parent's Name*

Parent's Email*

Parent's Phone Number*

Parent's Address*

Child's Name*

Child's Age*

Add Additional Child

Delivery Options:

I will pick up my kit in Newburgh

I will pick up my kit in Middletown

Please mail me my kit (please add a suggested $10 donation to help us cover the costs of shipping your kit)

I would like to make a donation to help support PJ Library!

Suggested Amounts

Add 3% to my donation to cover credit card fees.