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K-Grade 5 High Holy Days 5780 Program Registration

Children in Kindergarten-Grade 5 may choose to participate in the STEAM program during our early and late RH and YK services. This program runs through the entire adult service and children will be ready for pick up when the service concludes. The programs incorporate themes of the high holidays and each experience is unique and interactive. Each program will be supervised by adults including teachers and other staff hired by TBA. A snack will be included on each day. Registration is on a first come first served basis as space is limited in the programs. Programs are free of charge, but advanced registration is required. If a program reaches capacity before the deadline, we will close registration. Please note this progam is for members only.

Member Contact Information

* TBA Member Submitting Request

First and Last Name

* Phone Number

Number where you can be reached on the day of the program

Child 1

Child's Name

Grade

* Does your child have any allergies? Enter yes or no in the box below. If the answer is yes, please give detailed allergy information.

Rosh Hashanah

Yom Kippur

Child 2

Child's Name

Grade

Does your child have any allergies? Enter yes or no in the box below. If the answer is yes, please give detailed allergy information.

Rosh Hashanah

Yom Kippur

Child 3

Child's Name

Grade

Does your child have any allergies? Enter yes or no in the box below. If the answer is yes, please give detailed allergy information.

Rosh Hashanah

Yom Kippur

Child 4

Child's Name

Grade

Does your child have any allergies? Enter yes or no in the box below. If the answer is yes, please give detailed allergy information.

Rosh Hashanah

Yom Kippur

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.

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