2022/5783 HHD Child Care Form - Form

2022/5783 High Holy Day Child Care Form

(Parent) First Name

(Parent) Last Name

Phone Number

Email Address

Are you a member of Temple Emanu-El?

YesNo

Temple Emanu-El is pleased to offer child care, for children ages 3-5 who are potty trained, during the High Holy Day services at a fee of $10 per child, per service. How many children would you like to register?

Child 1 - Name

Child 1 - Birth Date

Which services will Child 1 attend Child Care? Please check the appropriate boxes.

Rosh Hashanah Day 1 Morning Service - Sept. 26 - 9:45am - end of morning serviceRosh Hashanah Day 1 Morning Service - Sept. 26 - 10:45am (after Sing Yeladim) - end of morning serviceYom Kippur Morning Service - October 5 - 9:45am - end of morning serviceYom Kippur Morning Service - October 5 - 10:45am (after Sing Yeladim) - end of morning service

Child 2 - Name

Child 2 - Birth Date

Which services will Child 2 attend Child Care? Please check the appropriate boxes.

Child 3 - Name

Child 3 - Birth Date

Which services will Child 3 attend Child Care? Please check the appropriate boxes.

Child 4 - Name

Child 4 - Birth Date

Which services will Child 4 attend Child Care? Please check the appropriate boxes.

Is there anything we should know about your child(ren)? Allergies? Exceptionalities? etc.? If you are registering more than one child, please indicate the name of the child in addition to the information we should know.

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