Children’s Programming Registration Form

(1 per family)

Parents or other responsible adult: _____________________Phone:________________

Other person authorized to pick up child(ren):___________________________________

FILL OUT ALL INFORMATION-GRADE/AGE INFO IS VITAL FOR PLANNING!!!!

Babysitting (1year old – 4 year old/ Pre-K)

Rosh Hashanah Kol Nidre Yom Kippur
29-Sept 30-Sept 8-Oct 9-Oct 9-Oct
Name Age 7:15pm-

9:15 pm

9:00am-

1:15pm

6:45pm-

9:45pm

9:00am-

1:15pm

3:45pm-

6:45pm

Please indicate a time each day (30 minute block if possible) when you can volunteer to assist in child care.


Gesher (Kindergarten – 3rd Grade)

Rosh Hashanah Kol Nidre Yom Kippur
29-Sept 30-Sept 8-Oct 9-Oct 9-Oct
7:15pm- 9:00am- 6:45pm- 9:00am- 3:45pm-
Name Age Grade 9:15 pm 1:15pm 9:45pm 1:15pm 6:45pm
Please indicate a time each day (30 minute block if possible) when you can volunteer to assist in child care.


Programming/Activities following B’Yachad (4th - 9th Grade)

Rosh Hashanah Yom Kippur
30-Sept 9-Oct
After Shofar blowing approx: 12:15am 12:15am
Name Grade 1:15pm 1:15pm