High Holiday Child Supervision 5785 - Form

High Holiday Child Supervision 5785

Child Supervision will take place at the following times during the High Holidays

10:00 am - 12:30 pm Rosh Hashanah Day 1
10:00 am - 12:30 pm Rosh Hashanah Day 2
5:45 pm - 8:30 pm Kol Nidre
10:00 am - 12:30 pm Yom Kippur
5:45 pm - 6:45 pm N'eilah (Yom Kippur Evening)

Check the signs for location.
We are only accepting children ages 2-5 years.
We are not accepting infants or young toddlers for this program.
Please use this form to sign up. Space is limited so don't delay.

Deadline is September 25.
If our capacity is reached before that date, we will stop accepting submissions.

* First Name Parent 1

* Last Name Parent 1

* Email

* Preferred Phone #

Please give us a phone number where you can accept a call or text if we need to contact you.

* First Name Parent 2

* Last Name Parent 2

* Email

* Backup Phone #

Please give us an additional phone number in case we can't reach Parent 1 at their preferred phone#

* Number of Children?

* First Name Child 1

* Last Name Child 1

Age

Child 1 Wants Child Supervision Rosh Hashanah Day 1

Child 1 Wants Child Supervision Rosh Hashanah Day 2

Child 1 Wants Child Supervision on Kol Nidre

Child 1 Wants Child Supervision Yom Kippur

Child 1 Wants Child Supervision Yom Kippur Evening

First Name Child 2

Last Name Child 2

Age

Child 2 Wants Child Supervision Rosh Hashanah Day 1

Child 2 Wants Child Supervision Rosh Hashanah Day 2

Child 2 Wants Child Supervision on Kol Nidre

Child 2 Wants Child Supervision Yom Kippur

Child 2 Wants Supervision Yom Kippur Evening

First Name Child 3

Last Name Child 3

Age

Child 3 Wants Child Supervision Rosh Hashanah Day 1

Child 3 Wants Child Supervision Rosh Hashanah Day 2

Child 3 Wants Child Supervision on Kol Nidres

Child 3 Wants Child Supervision Yom Kippur

Child 3 Wants Supervision Yom Kippur Evening