Gan KSTT 24-25

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Sundays, 10:15 am - 11:30 am
8 Sessions: October 20, November 24, December 8, January 12, February 9, March 9, April 6 and May 18.

Members $260
Non-Members $290

* Child's First Name

* Child's Last Name

* Child's Date of Birth

* Age

* Parent 1 Name:

* Parent 1 Email Address:

Parent 1 Phone Number:

* Parent 2 Name:

* Parent 2 Email Address:

Parent 2 Phone Number:

* Registration

Questions, requests, pertinent information.

Pick-Up Authorization:

_________________________ is/are authorized to pick up my child from class

Name(s)

Relationship

Photo Authorization:
I hereby give permission to Kol Shalom to use photos of my child/children taken at Gan KSTT in promotional publicity and ads.

Photo Authorization

Sign and Date

Sat, October 12 2024 10 Tishrei 5785