High Holiday Youth Program Form

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YOUTH PROGRAM REGISTRATION FORM - HIGH HOLIDAYS 2017

Required for all infants and children through 5th grade

Parent Information

* First Name

* Last Name

* Phone Number

* Email

Child Information and Holiday Attendance

Please fill out all information for every child attending the program(s)

Click blue plus sign below to begin adding children and choose program(s):

* Child's Name

* Age

* Grade

My Child will be joining High Holiday Youth Services for:

Rosh Hashanah

Kol Nidrei

Yom Kippur

Please Select Your Child's Group

Toddlers Ages 18 Months to 2 YearsPreschool Ages 2-3 YearsBoys Ages 3-5 YearsGirls Ages 3-5 YearsChildren K-12 Years

Click blue plus sign below for additional children attending program(s):

Please Select One$40 for up to 2 children per family$70 for more than 2 children per family

Parent Volunteers

I would like to volunteer to help for one hour during the following sessions:

Rosh Hashana Day OneRosh Hashana Day TwoYom Kippur Day

Volunteer Name:

Email:

Amount Due

FINAL DEADLINE FOR REGISTRATION IS MONDAY, AUGUST 21, 2017

QUESTIONS: EMAIL ADMIN@BETHTEFILLAH.ORG OR CALL 404-843-2464 EXT 104

Sat, April 20 2024 12 Nisan 5784