Yom Kippur Children's Service 5786 - Form - Temple Bat Yahm

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Yom Kippur Children's Service 5786

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We can't wait to see you at High Holy Day Children's Services, at 9:00 AM

Questions? E-mail Rabbi Miriam.

Parent/Guardian First Name

Parent/Guardian Last Name

Email

Mobile Phone Number

* Affiliation

Temple Bat YahmBeth Jacob Congregation - IrvineChabadCongregation B'nai IsraelCongregation B'nai TzedekShir Ha-ma'alotTarbut v'TorahTemple Beth El SOCTemple Beth SholomTemple Isaiah of Newport BeachUniversity SynagogueUnaffiliatedOther

Other - Please explain

How many adults will be attending?

This is for informational purposes only.

Please list names and relationships to children of attending adults

* Child's Full Name

Child's Age

* Do you have an additional child to register?

How many additional children would you like to register?

* Additional Child's Full Name

Child's Age

* Additional Child's Full Name

Child's Age

* Additional Child's Full Name

Child's Age

* How many adults will be attending?

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

Fri, September 12 2025 19 Elul 5785

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