2023 HHD Childcare - Form - Hevreh of Southern Berkshire

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2023 HHD Childcare

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REGISTRATION

* Parent 1 Name:

* Mobile:

Email:

* Child 1 Name:

Age

Does child #1 have any allergies?

CHILD NUMBER 1

Rosh HashanahYom KippurSign up for child #1.

Child 2 Name:

Age

Does this child #2 have any allergies?

CHILD NUMBER 2

Rosh HashanahYom KippurSign up for child #2.

Child 3 Name:

Age

Does child # 3 have any allergies?

CHILD NUMBER 3

Rosh HashanahYom Kippur MorningSign up for child #3.

Total amount due

Any questions? Contact the Hevreh office at 413.528.6378

Mon, October 2 2023
17 Tishrei 5784

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Mon, October 2 2023 17 Tishrei 5784

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