Youth Group Sign Up 2023-2024

Hi,
Please fill out this short survey. We would like to have a complete list of children and which minyan their parents typically daven. This is important for all children. Especially the younger ones who may not know their last names or their parents' names. (This is based on a real life situation that occurred.)

Please include all children to the age of 18. As we would like to know our full population so we can plan events for everyone.

Thank you

* Your First Name

* Your Last Name

* Your Email Address

Which Minyan do you usually participate in?

* Your Spouse First Name

(if n/a please mark n/a)

* Your Spouse Last Name

(if n/a please mark n/a)

* Your Spouse Email Address

(if n/a please mark n/a)

* Which Minyan does your spouse usually participate in?

(if n/a please mark n/a)

Number of children you are signing up for groups

Child's First and Last Name

Birth Month

Birth Year

Group Attending

Child's First and Last Name

Birth Month

Birth Year

Group Attending

Child's First and Last Name

Birth Month

Birth Year

Group Attending

Child's First and Last Name

Birth Month

Birth Year

Group Attending

Child's First and Last Name

Birth Month

Birth Year

Group Attending

Child's First and Last Name

Birth Month

Birth Year

Group Attending

Child's First and Last Name

Birth Month

Birth Year

Group Attending

Comments (Allergy and any special instructions)

Thu, November 21 2024
20 Cheshvan 5785

Thu, November 21 2024 20 Cheshvan 5785

Mailing Address:

371 South Prospect Avenue
Bergenfield, NJ 07621

Building Address:

385 South Prospect Avenue

Bergenfield, NJ 07621

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