Children's Programs Registration

Address

I am registering for:
1 Child2 Children3 Children
CHILD INFORMATION
Child 1:
First NameLast Name
Birth Date
MonthDayYear
Gender
MaleFemale
Child 2:
First NameLast Name
Birth Date
MonthDayYear
Gender
MaleFemale
Child 3:
First NameLast Name
Birth Date
MonthDayYear
Gender
MaleFemale
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 belowRosh Hashana Puppet Show on Zoom - Sept. 15Shofar 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 SemesterWeekly from Sept. 14 - Dec. 7 Includes classes for High Holidays and Chanukah
Yes, On ZoomYes, In PersonOn the edge, I'd like more information about itI will pass for this semester
I'd like to register my child for Jewish Discovery Hour Fall Semester
Full Price: $300 per childScholarship amount: $180 per childI'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

Credit Card Paypal

This page uses TLS encryption to keep your data secure.