ECC Temple Tots

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* First Name

* Last Name

* Phone Number

* Email

* Number of children attending

Child's Name

* Address

* City

* State

* Zip

* Child's Birthdate:

* If your child has any allergies, please list them below:

Permission to use photographs:

You have my permission to use videos and photographs of my child (while enrolled in our classes or camps) for use in your catalog, Facebook, website, & advertising literatureNo, you do not have my permission to use videos and photographs of my child

Cost per child:
$80.00 Temple Members
$100.00 Non-Members

How Many Temple members are attending?

$80 per child

How many non-members are attending?

$100 per child

Tue, January 18 2022
16 Sh'vat 5782

Tue, January 18 2022 16 Sh'vat 5782