Kidzone Registration

At West Side Institutional Synagogue, we are excited to return to fun at shul. All shabbat morning groups will begin at 9:50am and end at the same time as the main shul. There will be free play for early arrivals at 9:30am. Feel free to reach out to Zach Herskowitz at 516-993-8381 with any questions you may have.

please fill out the form below to sign your child(ren) up for our youth programming before they attend. Your registration is critical to our preparation.

PARENT/GUARDIAN INFORMATION

* First Name

* Last Name

* Phone

* Email

* Relationship

Other Guardian First Name

Other Guardian Last Name

Other Phone

Other Email

Other Relationship

Home Address

* Are you a member of WSIS or WSSS?

WSISWSSSN/A

CHILD-1 INFORMATION

Child-1 First Name

Child-1 Last Name

Gender

Grade

School

Date of Birth

Child-1 Phone

Child-1 Email

CHILD-2 INFORMATION

Child-2 First Name

Child-2 Last Name

Gender

Grade

School

Date of Birth

Child-2 Phone

Child-2 Email

CHILD-3 INFORMATION

Child-3 First Name

Child-3 Last Name

Gender

Grade

School

Date of Birth

Child-3 Phone

Child-3 Email

CHILD-4 INFORMATION

Child-4 First Name

Child-4 Last Name

Gender

Grade

School

Date of Birth

Child-4 Phone

Child-4 Email

Thu, April 25 2024 17 Nisan 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