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October KidZone Sign Up Form

SCROLL DOWN FOR REGISTRATION FORM
Please fill out the form below to sign your child(ren) up for October youth programming before they attend. 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

ADULT NICKELODEON TICKETS
   WSIS or WSS Member $66 per ticket
   Non-Member $69 per ticket

CHILD-1 INFORMATION
IF CHILD IS ATTENDING NICKELODEON EVENT, BE SURE TO SELECT A NICKELODEON OPTION HERE...

CHILD-2 INFORMATION
IF CHILD IS ATTENDING NICKELODEON EVENT, BE SURE TO SELECT A NICKELODEON OPTION HERE...

CHILD-3 INFORMATION
IF CHILD IS ATTENDING NICKELODEON EVENT, BE SURE TO SELECT A NICKELODEON OPTION HERE...

CHILD-4 INFORMATION
IF CHILD IS ATTENDING NICKELODEON EVENT, BE SURE TO SELECT A NICKELODEON OPTION HERE...

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

Tue, March 19 2024 9 Adar II 5784
West Side Institutional Synagogue • 120 West 76th Street • New York, NY 10023
Tel: 212-877-7652 • Fax: 212-877-9333 • Email: office@wsisny.org