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Yamim Noraim Childcare Registration - Step 1 of 3

Babysitting for ages 2 - 5 and Yamim Noraim programming for ages K-3 and 4-6. Pre-registration is required. "Drop-ins" will not be accepted.

Parent Information

Parent's Name(s)Home Phone
AddressParent 1 Daytime Phone
City / State / ZipParent 2 Daytime Phone
E-mail

Child Information

We offer child care for children ages 2 - 5 and programming for grades K - 6 only. Your child must be 2 years old as of September 15th, 2008 to participate. Cost is $15.00/child per session with a maximum of $40.00/session per family.

Child's Name Date of Birth Grade Special Information

Questions about childcare programming call Mary Baumgarten at 952-920-3512 ext 116 or via e-mail. For help with technical issues on this form, contact Jessica Boyd at 952-920-3512 ext 104 or via e-mail.