HH 5783 Children's Program Registration

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HH 5782 Children Program Registration for children ages 2-12.

Please note one parent must be on shul premises at all times while your child(ren) are enrolled in the Children's Program.

Please complete the form by September 19, 2022. The cost per child is $54 per child.

* Your Last Name *

Please enter your last name.

* Your First Name *

Please enter your first name.

* Email address *

Please enter your email address.

* Number of Children You are Registering *

Please select from the drop down box the number of children ages 2-12 that you would like to register for the Children's Program. The cost is $54 per child.

Please complete the section below with the names of your child(ren) attending, which Holiday(s) each child will be attending. Please do not select a holiday day you know your child will NOT be attending. It will help us greatly in the planning process. Thank you.

Name Column - please type the names of each child attending in Name column.
When Column - please select which Holiday Days they will be attending from the When Column (click on the small up/down arrow in the upper corner of the box and select the holidays each child will be attending).
Child's Age - please enter your child's age.

Requests

	* Name	When	* Child's Age	Please List your child's food allergies & other important information you would like us to know

Total Amount Due

Please click Submit and you will be taken to the Payment Selection Window. You may choose one of the following payment methods. Click Confirm and Continue after selecting your payment option.

Bill to my account - This option is only available to Shul members and who are currently logged into their Shul website member account. The fees will be billed to your shul account and the office will charge the costs to your credit card on file.
Congregation Adat Yeshurun - if you select this option you will be taken to a new window which will allow you to either select the credit card you have on file at the shul office (This option is only available if you are currently logged into your Shul website member account), or enter a credit card for payment.
Congregation Adat Yeshurun eCheck - if you select this option you will be taken to a new window in which you will enter your bank account information and authorize an eCheck payment sent to Adat Yeshurun.

Tue, October 4 2022 9 Tishrei 5783