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5778 High Holy Days Children's Programming Form

5778/2017 HIGH HOLY DAYS

CHILDREN'S PROGRAMMING REGISTRATION


Please fill out the fields below to register your child for Children's Programming during the 5778/2017 High Holy Days.

NOTE: As a reminder, there is no child care at the Westwood Village Theatre. We are happy to provide Children's Programming at KI, which will begin 1.5 hours before each service in Westwood and end 1.5 hours after each service in Westwood to accommodate for travel time. 


YOUR INFORMATION

Please use this format: 310-555-1212


CHILD/CHILDREN'S INFORMATION


CHILD #1 INFORMATION

Please complete this section if you are attending services at the KEHILLAT ISRAEL.

Please complete this section if you are attending services at the WESTWOOD VILLAGE THEATRE.

If you are only filling out information for one child, please scroll down to the Emergency Authorization section at the bottom of this form now.

CHILD #2 INFORMATION

Please complete this section if you are attending services at the KEHILLAT ISRAEL.

Please complete this section if you are attending services at the WESTWOOD VILLAGE THEATRE.

CHILD #3 INFORMATION

Please complete this section if you are attending services at the KEHILLAT ISRAEL.

Please complete this section if you are attending services at the WESTWOOD VILLAGE THEATRE.

CHILD #4 INFORMATION

Please complete this section if you are attending services at the KEHILLAT ISRAEL.

Please complete this section if you are attending services at the WESTWOOD VILLAGE THEATRE.


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.

Fri, December 15 2017 27 Kislev 5778