Young Toddler

Calendar
ways to give
High Holy Days 5783

Calendar
ways to give
High Holy Days 5783

YOUNG TODDLER REGISTRATION FORM

NOVEMBER 7, 2022 – JUNE 8, 2023

M/W/F OR M/W/TH/F

9:45 AM – 12:15 PM

3 Days = $4300

There is a one time $50 registration fee.
$1229 + $50 = $1279 will be charged today.
$614 will be charged monthly (Nov - March)

4 Days = $5700
There is a one time $50 registration fee
$1629 + $50 = $1679 will be charged today.
$814 will be charged monthly (Nov - March)

* Child's Last Name

Child's First Name

* Gender

* I certify:

I certify: My child will be turning TWO years old between December 1, 2022 and February 28, 2023

* Date of Birth

* My Email

* Parent 1 First Name

* Parent 2 Last Name

My Cell #

* Parent 2 First Name

* Parent 2 Last Name

Parent 2 Cell #

Parent 2 Email

* Street

* City

* State

* Zip

* Please choose program

Total Deposit

Fri, August 19 2022 22 Av 5782