High Holidays Childcare Registration Form 2019-5780 - Form

If you wish to take advantage of the on-site childcare (provided for ages 3 months
through Pre-K) during the High Holy Day services, Please register your children in
advance using this Registration Form. It is important that we know exactly how many
children will need childcare so we can prepare in advance and staff appropriately.
The fee, regardless of the number of services attended, is $18/child, with a $36 max per family.

Please let us know if your child has any food allergies or needs any special accommodations, particularly if they need a 1:1 assistant, so we can try to accommodate as best we can. Email Stacey Briggs at programming@bethelohim.org.

PLEASE BE PROMPT WHEN PICKING UP YOUR CHILD(REN) AT THE CONCLUSION OF THE SERVICE.

* First Name

* Last Name

* Email

* Phone Number

* Adult(s) responsible for picking up children:

Please pick up children no later than 1:30 PM!

* Choose appropriate payment box for children you are registering for aged 3 months through Pre-K.

Please Select One$18 total - One child$36 total - Two or more childrenI already paid $36 maximum on the High Holidays Children's Services Registration Form - no charge on this form

Total to pay:

* Child #1 Name:

* Age of Child #1:

* Check the services that you require childcare for this child:

Rosh Hashanah Day 1Rosh Hashanah Day 2Yom Kippur

Child #2 Name:

Age of Child #2:

Check the services that you require childcare for this child:

Rosh Hashanah Day 1Rosh Hashanah Day 2Yom Kippur

Child #3 Name:

Age of Child #3:

Check the services that you require childcare for this child:

Rosh Hashanah Day 1Rosh Hashanah Day 2Yom Kippur

Child #4 Name:

Age of Child #4:

Check the services that you require childcare for this child:

Rosh Hashanah Day 1Rosh Hashanah Day 2Yom Kippur

Questions? Need additional information or need to provide additional information? Does your child have food allergies or need accommodations? Contact Stacey Briggs at p rogramming@bethelohim.org.