2017 HHD Youth Registration Form

We look forward to welcoming your children for the High Holidays!

Rosh Hashanah Day 1: Thursday, September 21, 2017
Rosh Hashanah Day 2: Friday, September 22, 2017
Kol Nidre: Friday, September 29, 2017
Yom Kippur: Saturday, September 30, 2017

* Parent 1 First Name

* Parent 1 Last Name

* Parent 1 Cell Phone

* Parent 1 Email

Parent 2 First Name

Parent 2 Last Name

Parent 2 Cell Phone

Parent 2 Email

* Child 1 First Name

* Child 1 Last Name

On Rosh Hashanah Day 1 Morning (9 am), Child 1 will attend:

On Rosh Hashanah Day 1 Afternoon (1:30 pm), Child 1 will attend:

On Rosh Hashanah Day 2 (9 am), Child 1 will attend:

On Kol Nidre (6 pm), Child 1 will attend:

On Yom Kippur Morning (9 am), Child 1 will attend:

On Yom Kippur Afternoon (1 pm), Child 1 will attend:

Child 1 Allergies and Medical Information

Please share any allergies or medical conditions so we can prepare snacks and activities that are safe for your child. This information will only be shared with the education staff and the teachers in your child's classroom.

Child 1 Learning Support

If your child has any learning, behavioral, or social challenges, please let us know here. We will use this information to put the right supports in place so they can have a great experience. This information will only be share with the education staff and the teachers in your child's classroom.

Child 1 Friend Request

Children can request to be placed in a classroom with a friend or two from the same grade. We will do our best to honor at least one request.

Child 2 First Name

Child 2 Last Name

On Rosh Hashanah Day 1 Morning (9 am), Child 2 will attend:

On Rosh Hashanah Day 1 Afternoon (1:30 pm), Child 2 will attend:

On Rosh Hashanah Day 2 (9 am), Child 2 will attend:

On Kol Nidre (6 pm), Child 2 will attend:

On Yom Kippur Morning (9 am), Child 2 will attend:

On Yom Kippur Afternoon (1 pm), Child 2 will attend:

Child 2 Allergies and Medical Information

Child 2 Learning Support

Child 2 Friend Request

Children can request to be placed in a classroom with a friend or two from the same grade. We will do our best to honor at least one request.

Child 3 First Name

Child 3 Last Name

On Rosh Hashanah Day 1 Morning (9 am), Child 3 will attend:

On Rosh Hashanah Day 1 Afternoon (1:30 pm), Child 3 will attend:

On Rosh Hashanah Day 2 (9 am), Child 3 will attend:

On Kol Nidre (6 pm), Child 3 will attend:

On Yom Kippur Morning (9 am), Child 3 will attend:

On Yom Kippur Afternoon (1 pm), Child 3 will attend:

Child 3 Allergies and Medical Information

Child 3 Learning Support

Child 3 Friend Request

Children can request to be placed in a classroom with a friend or two from the same grade. We will do our best to honor at least one request.

Thu, April 25 2024 17 Nisan 5784

2017 HHD Youth Registration Form

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