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HHD Children's Service
Please verify reCaptcha before submitting the form.
We can't wait to see you at High Holy Day ChildrensĀ Services.
Questions? E-mail
Rabbi Miriam
.
Parent/Guardian First Name
Parent/Guardian Last Name
Email
Mobile Phone Number
*
Affiliation
Temple Bat Yahm
Beth Jacob Congregation - Irvine
Chabad
Congregation B'nai Israel
Congregation B'nai Tzedek
Shir Ha-ma'alot
Tarbut v'Torah
Temple Beth El SOC
Temple Beth Sholom
Temple Isaiah of Newport Beach
University Synagogue
Unaffiliated
Other
Other - Please explain
Please Select The High Holy Day Children's Services You Plan on Attending
Rosh Hashanah Children's Service
Yom Kippur Children's Service
*
Child's Full Name
Child's Age
Please select one
0
1
2
3
4
5
6
7
Older sibling (8+)
*
Do you have an additional child to register?
Please select one
Yes
No
How many additional children would you like to register?
Please select one
1
2
3
*
Additional Child's Full Name
Child's Age
Please select one
0
1
2
3
4
5
6
7
Older sibling (8+)
*
Additional Child's Full Name
Child's Age
Please select one
0
1
2
3
4
5
6
7
Older sibling (8+)
*
Additional Child's Full Name
Child's Age
Please select one
0
1
2
3
4
5
6
7
Older sibling (8+)
*
How many adults will be attending?
Please select one
1 (just me)
2
3
4
5
6
Additional Adult Attending First Name
Second adult guest
Additional Adult Last Name
Additional Adult Email Address
Additional Adult Phone Number
Additional Adult First Name
Third adult guest
Additional Adult Last Name
Additional Adult Email Address
Additional Adult Phone Number
Additional Adult First Name
Fourth adult guest
Additional Adult Last Name
Additional Adult Email Address
Additional Adult Phone Number
Additional Adult First Name
Fifth adult guest
Additional Adult Last Name
Additional Adult Email Address
Additional Adult Phone Number
Additional Adult First Name
Sixth adult guest
Additional Adult Last Name
Additional Adult Email Address
Additional Adult Phone Number
I would like to make a donation to support programming of this kind:
Total
Sat, September 30 2023 15 Tishrei 5784