Help us make a safe and fun environment by informing us if your children will be attending all or part of the Rosh Hashana and Yom Kippur Youth Services.

Parent 1 Name: Parent 2 Name:
Child 1: Name Age:
Time attending
(Scroll down and Select as many as needed)		 Important Information for us to know:
Please include medical/allergies/etc.
 
Child 2: Name Age:
Time attending
(Scroll down and Select as many as needed)		 Important Information for us to know:
 
Child 3: Name Age:
Time attending
(Scroll down and Select as many as needed)		 Important Information for us to know:

Thank you!