Register - The Shabbos Club

Child's Info
Name*
First Name Last Name
Date of Birth*

Day Month Year
School*
School Year 2023*
Notes
Please let us know of any allergies, special needs or otherwise that will assist us in ensuring your children are cared for.
Parent's Info
Mother's Name*
First Name Last Name
Mother's Phone Number*
Mother's E-mail*
Father's Name
First Name Last Name
Father's Phone Number
Father's Email
Confirmation*

Yes, I would like my child (named above) to participate in the Nefesh Kids Shabbos Club.
I would like to receive news and updates by email
Should be Empty:

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Child's Info