Family Fun Spring 2020 Registration Form

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Note: All classes are for children accompanied by an adult. Space is limited and all classes will need a minimum of 6 children. Priority will be given to Temple Israel members.

* How many children are you registering?

* Child(ren)'s Last Name

* Child's First Name

* Child's Gender

* Second Child's First Name

* Second Child's Gender

* Birthdate

Allergies, Food Restrictions, Health Considerations, etc.

Child(ren)'s Address

* Address

* City

* State

* Zip

* Home Phone

Parent / Guardian Info.

* Last Name

* First Name

* Mobile Phone

* Email Address

* Synagogue Affiliation

Accompanying Adult

* Same as Parent/Guardian (above)?

* Accompanying Adult's Last Name

* Accompanying Adult's First Name

* Accompanying Adult's Cell Phone

* Accompanying Adult's Relationship to Child

Classes

(Please select the number of children attending)

* Mondays - Temple Tots

18 weekly sessions, 1/06/2020 – 05/18/2020

* Wednesdays - Temple Tots

19 weekly sessions, 1/8/2020 - 6/3/2020

* Thursdays - Challah to Hamantashen

19 weekly sessions, 1/9/2020 – 6/4/2020

* Fridays - Temple Tots

17 weekly sessions, 1/10/2020 - 5/22/2020

Please note: Friday Baby Bunch is full.

* Mondays - Temple Tots

18 weekly sessions, 1/06/2020 – 05/18/2020

* Wednesdays - Temple Tots

19 weekly sessions, 1/8/2020 - 6/3/2020

* Thursdays - Challah to Hamantashen

19 weekly sessions, 1/9/2020 – 6/4/2020

* Fridays - Temple Tots

17 weekly sessions, 1/10/2020 - 5/22/2020

Please note: Friday Baby Bunch is full.

Photography / Video / Website Permission

* Permission to use photographs:

Please Select OneYou 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

Mon, February 24 2020 29 Sh'vat 5780