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Nefesh Kids Shul – High Holidays Registration

Nefesh Kids Shul – High Holidays Registration
Parent Details
Parent Full Name*
First Name Last Name
Parent E-mail*
Parent Phone Number*
Child Details
Child 1
Child Full Name*
First Name Last Name
Child Birth Date*

Month Day Year
Which sessions will this child attend?*

Rosh Hashanah – 12 September (10:45 AM–12:30 PM)Rosh Hashanah – 13 September (10:45 AM–12:30 PM)Kol Nidrei – 20 September (6:30–7:30 PM)Yom Kippur – 21 September (10:45 AM–12:30 PM)
Would you like to register another child?*

YesNo
Child 2
Child 2 Full Name*
First Name Last Name
Child 2 Birth Date*

Month Day Year
Which sessions will this 2nd child attend?*

Rosh Hashanah – 12 September (10:45 AM–12:30 PM)Rosh Hashanah – 13 September (10:45 AM–12:30 PM)Kol Nidrei – 20 September (6:30–7:30 PM)Yom Kippur – 21 September (10:45 AM–12:30 PM)
Would you like to register another child?*

YesNo
Child 3
Child 3 Full Name*
First Name Last Name
Child 3 Birth Date*

Month Day Year
Which sessions will this 3rd child attend?*

Rosh Hashanah – 12 September (10:45 AM–12:30 PM)Rosh Hashanah – 13 September (10:45 AM–12:30 PM)Kol Nidrei – 20 September (6:30–7:30 PM)Yom Kippur – 21 September (10:45 AM–12:30 PM)
Kids Program Registration Fee*

$50 - 1 Child$100 - 2 or More Children
Optional Donation

$50.00 AUD$75.00 AUD$100.00 AUD$180.00 AUD$500.00 AUD$1000.00 AUD$1800.00 AUD
Total

$0.00 AUD

Payment*

Credit Card Cash

Postal / Zip Code

Country

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