* Are you a member of Shearith Israel?Please Select One Yes No
* Are you the parent of the child(ren)?Please Select One Yes No
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High Holidays 2021 /5782 Yom Kippur is Thursday, September 16
Youth Programming & Food Registration, Grades K - 5 (flat rate of $36 per child) Programming for children in the grades K-5 will consist of youth services, age appropriate instructional interactive activities, and supervised free time on the playground, including snacks on Rosh Hashanah & Yom Kippur.
CHILD 1
* Food Allergies/Medical ConditionsPlease Select One Yes No
If you indicated this child has any food or other allergies/medical conditions that we should know about, please share with us any information, including allergies and/or medical conditions that will help us have a successful experience:
Do you have (an) additional child(ren) to register? Please Select One Yes No
Food Allergies/Medical Conditions Please Select One Yes No
If you indicated this child has any food or other allergies/medical conditions that we should know about, please share with us any information, including allergies and/or medical conditions that will help us have a successful experience:
Do you have (an) additional child(ren) to register? Please Select One Yes No
* Food Allergies/Medical ConditionsPlease Select One Yes No
* If you indicated this child has any food or other allergies/medical conditions that we should know about, please share with us any information, including allergies and/or medical conditions that will help us have a successful experience:
Do you have (an) additional child(ren) to register? Please Select One Yes No
* Food Allergies/Medical ConditionsPlease Select One Yes No
* If you indicated this child has any food or other allergies/medical conditions that we should know about, please share with us any information, including allergies and/or medical conditions that will help us have a successful experience:
VOLUNTEER OPPORTUNITIES
* I wish to volunteer to assist with childcare and youth programming during the High HolidaysPlease Select One Yes No
Please rank your top 3 choices for volunteer shifts below.
**Please note: Any registrations made after August 31st will automatically be assessed an additional $18 surcharge**
