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HHD Camp, Youth & Family Services, & Babysitting Registration 5785/2024
Please verify reCaptcha before submitting the form.
High Holy Days Registration
Babysitting
(18mo-5yrs)
*Cost associated will be collected when form is submitted.
High Holy Day Camp
(Grades K-7)
Youth & Family Services
Dor Chadash Services (Infants-Pre-K)
Bonim Services (Grades K-3 and 4-7)
Parent/Guardian 1
*
First Name
*
Last Name
*
Cell
*
Email
Parent/Guardian 2
First Name
Last Name
Cell
Email
Authorized Alternative Pick Up
If anyone other than those listed on this form are authorized to pick up your children, please list them below:
First and Last Name
Mobile
Relationship
First and Last Name
Mobile
Relationship
Which Shearith Youth & Family program are you registering for?
Please Select One
Babysitting (18 months - 5 yrs)
Camp
Youth & Family Services
Youth & Family Services + Camp
Babysitting + Camp
Babysitting + Youth & Family Services
Babysitting + Youth & Family Services + Camp
BABYSITTING (18mo-5 yrs)
Pre-registration is required as walk-ins cannot be accommodated.
Questions? Contact Taylor Hayden at thayden@shearith.org
1 Child
$15 per service
Each Additional Child
$5 per service
Number of children
Please Select One
1
2
3
4
5
Child 1
*
First and Last Name
*
Age
*
Number of HHD services needed
0
1
2
3
4
5
*
Please select which service(s)
Rosh Hashanah Day 1
Rosh Hashanah Day 2
Kol Nidre (Erev Yom Kippur)
Yom Kippur Day
Neilah (Evening of Yom Kippur Day)
Please provide any special needs, diagnosis, allergies, or anything else we may need to know.
Child 2
*
First and Last Name
*
Age
*
Number of HHD services needed
0
1
2
3
4
5
*
Please select which services(s)
Rosh Hashanah Day 1
Rosh Hashanah Day 2
Kol Nidre (Erev Yom Kippur)
Yom Kippur Day
Neilah (Evening of Yom Kippur Day)
Please provide any special needs, diagnosis, allergies, or anything else we may need to know
Child 3
*
First and Last Name
*
Age
*
Number of HHD services needed.
0
1
2
3
4
5
*
Please select which service(s).
Rosh Hashanah Day 1
Rosh Hashanah Day 2
Kol Nidre (Erev Yom Kippur)
Yom Kippur Day
Neilah (Evening of Yom Kippur Day)
Please provide any special needs, diagnosis, allergies, or anything else we may need to know.
Child 4
*
First and Last Name
*
Age
*
Number of HHD services needed
0
1
2
3
4
5
*
Please select which service(s).
Rosh Hashanah Day 1
Rosh Hashanah Day 2
Kol Nidre (Erev Yom Kippur)
Yom Kippur Day
Neilah (Evening of Yom Kippur Day)
Please provide any special needs, diagnosis, allergies, or anything else we may need to know.
Child 5
*
First and Last Name
*
Age
*
Number of HHD services needed
0
1
2
3
4
5
*
Please select which service(s).
Rosh Hashanah Day 1
Rosh Hashanah Day 2
Kol Nidre (Erev Yom Kippur)
Yom Kippur Day
Neilah (Evening of Yom Kippur Day)
Total Due for Babysitting
YOUTH & FAMILY SERVICES
Questions? Contact Taylor Hayden at thayden@shearith.org
*
Will you be attending with your child(ren)?
Please Select One
Yes
No
*
Do you already have HHD tickets for Aaron/Beck/Kaplan for the same day(s) that you plan to attend Family Services? (If so, you will not need Family Service tickets but will still need to register.)
Please Select One
Yes
No
*
Please select which Youth & Family Service(s).
RH Day 1 Dor Chadash (Infants - Pre-K) 9:00-9:45am in Topletz Auditorium
RH Day 1 Bonim (Grades K-3) 10:00-10:45am in Topletz Auditorium
RH Day 1 Bonim (Grades 4-7) 10:00-10:45am in Fonberg Family Chapel
RH Day 2 Bonim (Grades K-7) 10:00-10:45am in Fonberg Family Chapel
Yom Kippur Dor Chadash (Infants - Pre-K) 9:00-9:45am in Topletz Auditorium
Yom Kippur Bonim (Grades K-3) 10:00-10:45am in Topletz Auditorium
Yom Kippur Bonim (Grades 4-7) 10:00-10:45am in Fonberg Family Chapel
*
Number of children attending
Please Select One
1
2
3
4
5
Child 1
*
First and Last Name
Child 2
*
First and Last Name
Child 3
*
First and Last Name
Child 4
*
First and Last Name
Child 5
*
First and Last Name
High Holy Day Camp (K-7)
Questions? Contact Sandi Burt at sandib@shearith.org
*
Which days will your child(ren) be attending HHD Camp?
Rosh Hashanah Day 1 - 9:30am-1:00pm
Rosh Hashanah Day 2 - 10:00am-1:00pm
Kol Nidre - 6:15pm-9:15pm
Yom Kippur Day - 9:30am-2:00pm
Ne'ilah - 6:00-7:30pm
*
Number of children registering for HHD Camp?
Please Select One
1
2
3
4
5
Child 1
*
First and Last Name
*
Age
*
Grade
Please provide any special needs, diagnosis, allergies, or anything else we may need to know
Child 2
*
First and Last Name
*
Age
*
Grade
Please provide any special needs, diagnosis, allergies, or anything else we may need to know.
Child 3
*
First and Last Name
*
Age
*
Grade
Please provide any special needs, diagnosis, allergies, or anything else we may need to know.
Child 4
*
First and Last Name
*
Age
*
Grade
Please provide any special needs, diagnosis, allergies, or anything else we may need to know.
Child 5
*
First and Last Name
*
Age
*
Grade
Please provide any special needs, diagnosis, allergies, or anything else we may need to know.
Do you have any children age 14 or older who are interested in volunteering to help at HHD camp? If so, please list their names below.
Thu, August 22 2024
18 Av 5784
Thu, August 22 2024 18 Av 5784