2022 High Holiday Experience Registration

2022 High Holiday Experience Registration

Rosh Hashana
September 26 & 27
10:00am- 1:00pm

Kiddush Following

Yom Kippur
October 5
11:00am- 2:00pm
Family Name *
N/A
Home Address
N/A

Required Street Address Required City Required State/Region/Province Required Postal / Zip Code

Required
Country
Parent Cell Phone *
N/A
Parent Email Address *
N/A
Number of Adults *
N/A
Name of Adult 1
N/A

First Last
Name of Adult 2
N/A

First Last
Name of Adult 3
N/A

First Last
Name of Adult 4
N/A

First Last
Name of Adult 5
N/A

First Last
Name of Adult 6
N/A

First Last
Number of Children (Program is recommended for ages 10+) *
N/A
Name of Child 1
N/A

Required First Required Last
Email
N/A
Grade of Child 1 *
N/A
School of Child 1 *
N/A
Name of Child 2
N/A

Required First Required Last
Grade of Child 2 *
N/A
School of Child 2 *
N/A
Name of Child 3
N/A

Required First Required Last
Grade of Child 3 *
N/A
School of Child 3 *
N/A
Name of Child 4
N/A

Required First Required Last
Grade of Child 4 *
N/A
School of Child 4 *
N/A
Name of Child 5
N/A

Required First Required Last
Grade of Child 5 *
N/A
School of Child 5 *
N/A
Name of Child 6
N/A

Required First Required Last
Grade of Child 6 *
N/A
School of Child 6 *
N/A
Days Attending *
N/A
The total cost for the High Holiday Experience is $72 per family. ($18 for a teen coming alone.) Please ensure you put the correct amount for payment in the paypal link when submitting the form.
Are you a teen coming alone?
N/A
Would you like to make a donation to NCSY? *
N/A

Yes
No

All donations over $18 will receive a tax receipt.
I will be making a donation of:
N/A
Formula
N/A
Payment *

Paypal CAD

Amount to be paid $

2022 High Holiday Experience Registration

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