Hh Children's Registration

HIGH HOLY DAYS 2009/5770 CHILDREN’S PROGRAM - $36 REGISTRATION FORM NAME OF CHILD GRADE

DATE OF BIRTH

ALLERGIES?

ACTIVITY CODE*

ERH RH1 RH2 KN YK N ERH RH1 RH2 KN YK N ERH RH1 RH2 KN YK N ERH RH1 RH2 KN YK N ERH RH1 RH2 KN YK N Name of Parent:

Parents must circle each specific session the child is expected to attend. State laws require a specific teacher/child ratio. *ERH: *RH1: *RH2: *KN: *YK: *N:

Erev Rosh Hashanah (9/18) 1st day/Rosh Hashanah ( 9/19) 2nd Day/Rosh Hashanah (9/20) Kol Nidre (9/27) Yom Kippur (9/28) Neilah (9/28)

Drop in Rate: (If there is room, per state law): $50 per day 10700 HAVENWOOD LANE LAS VEGAS, NV 89135

No will call. You must have a ticket and photo ID to be admitted to the building. 5