2024 Shabbanukah Childcare

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Friday, Dec. 20, 6 PM, Greenstein Sanctuary

Complimentary child care is available for children ages 3-5 who are toilet trained. Please let us know how many children will need childcare and some details about the children. Pizza will be provided.

ADULT CONTACT

* Primary Contact First Name

* Primary Contact Last Name

* Primary Contact Email Address

Primary Contact Cell Phone

CHILD'S/CHILDREN'S INFORMATION

How many children will be need childcare?

CHILD 1

Child 1 First Name

Child 1 Last Name

Child 1 Age

Please list any allergies your child may have.

Please describe any issues about your child that we need to know.

CHILD 2

Child 2 First Name

Child 2 Last Name

Child 2 Age

Please list any allergies your child may have.

Please describe any issues about your child that we need to know.

CHILD 3

Child 3 First Name

Child 3 Last Name

Child 3 Age

Please list any allergies your child may have.

Please describe any issues about your child that we need to know.

CHILD 4

Child 4 First Name

Child 4 Last Name

Child 4 Age

Please list any allergies your child may have.

Please describe any issues about your child that we need to know.

AUTHORIZED FOR PICK UP

For security reasons and to avoid possible confusion, please provide the name(s) of those you, as the parent or legal guardian, give authorization to pick-up your child(ren) at the conclusion of childcare.

Authorized to pick up child(ren):

Wed, December 25 2024 24 Kislev 5785

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