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November KidZone Event Sign Up

SCROLL DOWN FOR REGISTRATION FORM
Please fill out the form below to sign your child(ren) up for November Kidzone Events. Your registration is critical to our preparation.

Feel free to reach out to Zach Herskowitz at 516-993-8381 with any questions you may have.
PARENT/GUARDIAN INFORMATION

CHILD-1 INFORMATION
IF CHILD IS ATTENDING AFTERNOON YOUTH CENTER, PLEASE SELECT AND PAY BELOW...

CHILD-2 INFORMATION
IF CHILD IS ATTENDING AFTERNOON YOUTH CENTER, PLEASE SELECT AND PAY BELOW...

CHILD-3 INFORMATION
IF CHILD IS ATTENDING AFTERNOON YOUTH CENTER, PLEASE SELECT AND PAY BELOW...
CHILD-4 INFORMATION
IF CHILD IS ATTENDING AFTERNOON YOUTH CENTER, PLEASE SELECT AND PAY BELOW...

SHABBAT AFTERNOON YOUTH CENTER
Youth Center takes place for 10 Shabbat afternoons beginning November 20th at Manhattan Day School for ages 5-12.

COMMITMENT TO COMBAT COVID-19
Checking the box above indicates that you will instruct your children to do the following:
  • WEAR A MASK AT ALL TIMES
  • STAY IN DESIGNATED GROUP LOCATION
  • DO NOT BRING ANY FOOD OR DRINK FROM HOME
  • SANITIZE HANDS WHEN INSTRUCTED
  • STAY HOME IF SICK OR LEGALLY MANDATED TO QUARANTINE DUE TO EXPOSURE OR TRAVEL

Wed, December 8 2021 4 Tevet 5782
West Side Institutional Synagogue • 120 West 76th Street • New York, NY 10023
Tel: 212-877-7652 • Fax: 212-877-9333 • Email: office@wsisny.org