Parent and Me Registration 2023-2024 form - Form - Temple Etz Chaim

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Parent and Me Registration 2023-2024 form

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Child Information

Child Name

Birthdate

Child Name

Birthdate

Parent Information

Parent Full Name

E-Mail Address

Cell Phone No.

Home No.

Address

Parent Full Name

E-Mail Address

Cell Phone No.

Home No.

Address

* Class Choice

Baby and Me Class-Tuesdays from 9:00am-10:00am(Parents with children ages birth- 1 year old)Toddler Time Class - Tuesdays from 10:30am - 12:00pm (Parents with children ages 1 year to 2 years old))Please select the class you wish to join. Classes will be billed monthly unless canceled with the ECE office.

Amount Received

Sat, December 2 2023 19 Kislev 5784

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