High Holiday Children's Programming 2024 Guests - Form

We are excited to be offering High Holiday Children's Programming for 5785/2024

Children Pre-K through 7th Grade $10 per session.
Children 18 months old through Age 4 $18 per session.
(this includes children born Sept. 1st 2020 - Mar. 31st 2023)

Children's Programming High Holy Days 5785

Thursday, October 3, 2024 - Rosh Hashanah Day 1
Children's Programming (18 months - 7th grade) 9:30 a.m. until end of services

Friday, October 4, 2024 - Rosh Hashanah Day 2
Pre-school Family Service 9:30 a.m.
Family Service (K-5th Grade) 10:30 a.m.

Saturday, October 12, 2024 - Yom Kippur
Children's Programming (18 months - 7th Grade) 9:30 a.m. until end of services

* Email Address for Confirmation

How many children Pre-K through 7th Grade are you registering?

Children Pre-K through 7th Grade $10 per session

Child 1 Last Name

Child 1 First Name

Child 1 Grade

Choose the programming session(s) for Child 1

1st Day of Rosh HashanahYom Kippur

Please describe the dietary restrictions or allergies of Child 1

Please indicate individuals permitted to pick up Child 1

Child 2 Last Name

Child 2 First Name

Child 2 Grade

Choose the programming session(s) for Child 2

1st Day of Rosh HashanahYom Kippur

Please describe the dietary restrictions or allergies of Child 2

Please indicate individuals permitted to pick up Child 2

Child 3 Last Name

Child 3 First Name

Child Grade3

Choose the programming session(s) for Child 3

1st Day of Rosh HashanahYom Kippur

Please describe the dietary restrictions or allergies of Child 3

Please indicate individuals permitted to pick up Child 3

How many children 18 months through 4 years old are you registering?

Children born September 1st, 2020 through March 31st, 2023 that are younger than Pre-K age. $18 per child/per day.

Child 1 Last Name

Younger than Pre-K - 18 mos

Child 1 First Name

Younger than Pre-K - 18 mos

Child 1 Birthdate

Must be September 1st, 2020 - March 31st, 2023

Is child 1 potty-trained?

YesNo

Choose the programming session(s) for Child 1

1st Day of Rosh HashanahYom Kippur

Please describe the dietary restrictions or allergies of Child 1.

Please indicate individuals permitted to pick up Child 1

Child 2 Last Name

Younger than Pre-K - 18 mos

Child 2 First Name

Younger than Pre-K - 18 mos

Child 2 Birthdate

Must be September 1st, 2020 - March 31st, 2023

Is child 2 potty-trained?

YesNo

Choose the programming session(s) for Child 2

1st Day of Rosh HashanahYom Kippur

Please describe the dietary restrictions or allergies of Child 2.

Please indicate individuals permitted to pick up Child 2

Child 3 Last Name

Younger than Pre-K - 18 mos

Child 3 First Name

Younger than Pre-K - 18 mos

Child 3 Birthdate

Must be September 1st, 2020 - March 31st, 2023

Is child 3 potty-trained?

YesNo

Choose the programming session(s) for Child 3

1st Day of Rosh HashanahYom Kippur

Please describe the dietary restrictions or allergies of Child 3.

Please indicate individuals permitted to pick up Child 3

Parent/Guardian 1 Last Name

Parent/Guardian 1 First Name

Parent/Guardian 1 Email

* Parent/Guardian 1 Primary Phone

Parent/Guardian 1 Secondary Phone

Parent/Guardian 2 Last Name

Parent/Guardian 2 First Name

Parent/Guardian 2 Email

Parent/Guardian 2 Primary Phone

Parent/Guardian 2 Secondary Phone

Please indicate how many individuals will join us for the following family services:

Friday, October 4th - Rosh Hashanah Day 2
Preschool Family Service - 9:30 a.m.
Family Service (K-5th Grade) - 10:30 a.m.

Preschool Service

Family Service (K-5th Grade)

Total Amount Due for High Holiday Children's Programming