To maintain appropriate staff / child ratios, please complete this form and return with payment in full to the
Juice and cookies will be provided.
If needed, please bring disposable diapers and any other special items for your child.
Please make your check payable to the synagogue and mail it to the synagogue office with a copy of the email receipt you will receive upon submission.
Please note that upon submission, you will be taken to PayPal's website in order to enter your credit card information.