Deadline: Monday, Sept. 10, 2012

Please fill in the form on screen then either pay online or print and mail 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:
Child's name: Date of Birth:
Comments (special needs):

I can volunteer to help with   food preparation     desk duty     setup     cleanup.



DATESESSIONTIME NO. OF
CHILDREN 		AMOUNT
9/17 MonRosh Hashanah   9:30 - 2:00
9/18 Tues Rosh Hashanah  9:30 - 2:00
9/26 Wed Yom Kippur 10:00 - 2:00
=============
Total payable to Congregation B'nai Tikvah:

For credit card or PayPal payment, please complete the following form:


You don't need a PayPal account.
On the next screen, click continue
just above the credit card images. ( The synagogue is charged 2½% )
Minimum via PayPal is: $20.00 		 

OR


Mail this form with your check to:
    Stacey Cadoff
    24 Stevens Road
    Kendall Park, NJ 08824
We recommend that children attending our programs dress comfortably to allow them to romp and play.
Weather permitting, they will have supervised playtime on the playground.

For reasons of kashrut, you are asked not to bring your own food. We will provide snacks and a dairy lunch.
Exceptions will be made only for baby food and formula. This rule is strictly enforced.

All fees cover childcare expenses including snacks, lunch, and babysitters.