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Child Care Registration 5780

Child Information

 (MM/DD/YYYY)

Please check all that apply.

Medical Information

Please indicate any allergies your child may have.

*Snacks will be provided for child care services.

Temple Emanu-El observes Kosher restrictions on campus which include: no pork, no shellfish and no milk and meat dishes mixed together.

Please share any information that would help us better care for your child.

Child 2 Information

 (MM/DD/YYYY)

Please check all that apply.

Child 2 Medical Information

Please indicate any allergies your child may have.

*The JEC will provide snacks for child care services.

Temple Emanu-El observes Kosher restrictions on campus which include: no pork, no shellfish and no milk and meat dishes mixed together.

Please share any information that would help us better care for your child.

Child 3 Information

 (MM/DD/YYYY)

Please check all that apply.

Child 3 Medical   Information

Please indicate any allergies your child may have.

*The JEC will provide snacks for child care services.

Temple Emanu-El observes Kosher restrictions on campus which include: no pork, no shellfish and no milk and meat dishes mixed together.

Please share any information that would help us better care for your child.

Child 4 Information

 (MM/DD/YYYY)

Please check all that apply.

Child 4 Medical Information

Please indicate any allergies your child may have.

*The JEC will provide snacks for child care services.

Temple Emanu-El observes Kosher restrictions on campus which include: no pork, no shellfish and no milk and meat dishes mixed together.

Please share any information that would help us better care for your child.

Parent 1--Primary Contact Information

Parent 2--Secondary Contact Information

Photo Consent

I understand that photographs, images or recordings containing my child’s picture may be used for promotion on the Temple Emanu-El website; social media, including Facebook and Twitter and promotional materials such as brochures by Temple Emanu-El. By checking “Yes” I am granting my permission:


Donate

Please consider making a donation to Temple Emanu-El for the High Holidays. If you would prefer to donate by check, please indicate "High Holidays" in the memo and mail to:

Temple Emanu-El
2550 Pali Highway
Honolulu, HI 96817

We thank you for your support!

Wed, September 18 2019 18 Elul 5779