Together Time Summer 2023 Registration

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For children born after November 1, 2021, accompanied by an adult.
Wednesdays, 9:30-11:00 am, July 5 - August 9
$125 payable online
Join Morah Norah for songs, stories, snack, and movement play while you make new friends!

Parent/Guardian 1 Full Name *

Home Address *

Adult Date of Birth (needed to set up account) *

YYYY

Cell Phone Number *

Email *

Parent/Guardian 2 Full Name

Home Address (if different from Parent/Guardian 1)

Adult Date of Birth (needed to set up account)

YYYY

Cell Phone Number

Child's Full Name *

Child's Date of Birth *

YYYY

Other Children's Names and Dates of Birth

Photographs and video images of students in CBI Preschool are routinely taken for the purpose of celebrating student achievement and sharing educational programs with the community. Photographs, audio files, or video footage may be used throughout the synagogue, submitted to area newspapers, and/or posted on websites and social media associated with CBI. Students will not be identified by names; only the name of the school and synagogue will be used. *

I give permission

I do not give permission

Name of Adult Accompanying Child to Together Time *

Once you have submitted this registration form, Susan Kashan, Administrator will create an account for your online credit card payment of $125. *

I understand that I will need to pay by credit card upon receiving the link.

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