High Holy Days 5784 Childcare

• KI will be offering childcare for preschool-aged children between 2 and 5 years old.
• Care will be offered at KI for the morning services on Rosh Hashanah and Yom Kippur.
• Although there is no charge, we do require families to RSVP to reserve your child's spot.
• Submit the form below to reserve your spot now. 
   
   

  5784/2023 HIGH HOLY DAYS

  CHILDREN'S PROGRAMMING REGISTRATION

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  Please fill out the fields below to register your child for Children's Programming during the 5784/2023 High Holy Days.  Please note that you must complete one form per child. Once you've submitted this form, you'll see a link to submit an additional form, if needed.

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  PARENT INFORMATION

  * Parent #1 First Name

  * Parent #1 Last Name

  * Parent #1 Mobile Phone Number

  Please use this format: 310-555-1212. 

  Parent #2 First Name

  Parent #2 Last Name

  Parent #2 Mobile Phone Number

  Please use this format: 310-555-1212. 

  Your E-Mail Address

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  CHILD'S INFORMATION

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  * Child - First Name

  * Child - Last Name

  * Child's Age

  Please Select One18 mos. - 24 mos. (Current KI ECC Students Only)2-3 years old3-4 years old4-5 years old

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  Please select the services you will be attending, during which this child will be in Children's Programming:

  Rosh Hashanah Morning ServiceYom Kippur Morning Service

  Please select which service you will be attending, during which this child will be in Children's Programming:

  Traditional Service- SanctuaryMulti-Generation Service- Social HallParents are required to remain on-site during Children's Programming. 

  * Allergies

  Please list any allergies 

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  EMERGENCY AUTHORIZATION

  In case of accident or illness, I understand that all attempts will be made to contact me immediately. If unable to do so, I hereby authorize KI staff to call emergency services.

  * Electronic Signature of Parent/Guardian

  * Today's Date