Congregation B'nai Tikvah
High Holiday Childcare Form
(for children ages 1 through 7)

For your convenience, please fill in the form on screen then print and mail it with your check.

Parent/Guardian:  
Phone numbers     Day: Eve: Cell:

Child's name: Date of Birth:
Child's name: Date of Birth:
Child's name: Date of Birth:
Comments (special needs):

I can volunteer to help with food preparation   desk duty   setup   cleanup.
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DATESESSIONTIME NO. OF
CHILDREN 		AMOUNT
9/13 ThuRosh Hashanah 10:00 - 2:00
9/14 Fri Rosh Hashanah10:00 - 2:00
9/22 Sat Yom Kippur 10:00 - 2:30
 Mincha/N'eela 4:45 - 8 pm
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Mail form with check payable to Congregation B'nai Tikvah, for:
to:   Naomi Jackenthal
24 Christopher Ave.
Kendall Park, NJ 08824
Deadline: Sept. 15, 2007
Please refer to our High Holy Day Rules & Guidelines.