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High Holy Days Childcare Registration Form
Please verify reCaptcha before submitting the form.
Childcare (ages 2 to 6) will be available during the late morning Rosh Hashanah and Yom Kippur service from 11:30 am to 1:15 pm. Sign up in advance is required.
Your First Name
Your Last Name
*
Your Email Address
This is the confirmation email address. Please make sure that it is accurate.
*
Mobile Phone Number
Name of Child #1
Age of Child #1
Name of Child #2
Age of Child #2
Name of Child #3
Age of Child #3
Name of Child #4
Age of Child #4
*
Please let us know which High Holy Day Service you would like childcare?
11:30 AM Rosh Hashanah Morning Service, Thursday, October 3
11:30 AM Yom Kippur Morning Service, Saturday, October 12
Please select all that apply.
Optional comment
Fri, October 18 2024 16 Tishrei 5785