HH Babysitting Form

"*" indicates required fields

Your Name*

First Last

Email*

Phone*

To maintain appropriate staff / child ratios, please complete this form and return with payment in full to the Temple.

Juice and cookies will be provided.

If needed, please bring disposable diapers and any other special items for your child.

Are you a synagogue member?*

Yes

Number of Children - Rosh Hashanah Day 1

Number of Children - Yom Kippur Day

Children*

Name

Age

Allergic to:

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