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High Holiday Childcare Registration 2023

For toddlers through Kindergartners. Hours open: 10:00 am to end of adult services. $10 per child per day. Maximum of $20 per family per day.

* Child #1 name

* Child #1 age

* Select days childcare is needed

Saturday, September 16 (Rosh Hashanah 1)
Sunday, September 17 (Rosh Hashanah 2)
Monday, September 25 (Yom Kippur)

Child #2 name

Child #2 age

Select days childcare is needed

Saturday, Sept. 16 (Rosh Hashanah 1)
Sunday, Sept. 17 (Rosh Hashanah 2)
Monday, September 25 (Yom Kippur)

Child #3 name

Child #3 age

Select days childcare is needed

Saturday, September 16 (Rosh Hashanah 1)
Sunday, September 17 (Rosh Hashanah 2)
Monday, September 25 (Yom Kippur)

* Parent(s') Name(s)

* Parent(s') Phone Number(s)

* Address

* Email

* Please let us know what location your tickets are for:

Would you like your children to be together? The older child will be placed with the younger.

Any other comments including food allergies or anything else we need to know?

We have no provisions for changing diapers, so parents are "on call" for diaper changing. If your child requires special care or cannot be managed in a group setting, do not register your child for this program.

* Please enter amount owed $

Account Details

Enter your name and e-mail address for your confirmation:

*E-mail

*First Name

*Last Name

Payment Information

Account

Credit Card

Name on Card

Card Type

Card Number

Expiration Date

Card Verification Number

Address Line 1

City

State/Province

Zip

Comments

Increase the amount by 3% to cover credit card fees. Please select YES to increase your payment.

Total: