Three and Four Year Old Child Care

To be eligible for child care, your child must be at least three years of age by 10/1/2010


Parent's Name:

Phone Number:

Email: Address:

Child's Name: Date of Birth: Age:
Child's Name: Date of Birth: Age:

1st Day Rosh HaShanah (10:00 AM - 1:00 PM)
2nd Day Rosh HaShanah (10:00 AM - 1:00 PM)
Yom Kippur (10:00 AM - 1:00 PM)

Please submit this form by August 30th.