Children's Programs Registration

Address

I am registering for:

1 Child 2 Children 3 Children
CHILD INFORMATION
Child 1:

First Name Last Name
Birth Date

Month Day Year
Gender

Male Female
Child 2:

First Name Last Name
Birth Date

Month Day Year
Gender

Male Female
Child 3:

First Name Last Name
Birth Date

Month Day Year
Gender

Male Female
We will be attending the following Rosh Hashana Programs* Check all that apply. Free of Charge, Donation appreciated!

Jewish Discovery Hour - Rosh Hashana Edition - Sept.14 - Full Registration below Rosh Hashana Puppet Show on Zoom - Sept. 15 Shofar Family Service in Lithia Park with Busy the Bee- Sept. 20
We'd like to pick up a fun package for our children to do on Rosh Hashana

YES
Suggested Donation $10 per program

$10 $18 $36 $54 $72 $100 $180
I'm interested in my children attending Jewish Discovery Hour Fall Semester Weekly from Sept. 14 - Dec. 7 Includes classes for High Holidays and Chanukah

Yes, On Zoom Yes, In Person On the edge, I'd like more information about it I will pass for this semester
I'd like to register my child for Jewish Discovery Hour Fall Semester

Full Price: $300 per child Scholarship amount: $180 per child I'm going through a financially difficult time and request a further scholarship.
Comments
Do any of your children attending have any allergies or dietary restrictions? If yes, please explain:
Does your child have any health issues that we need to know about? If yes, please explain:

Payment

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