Boker Tov 2024-25 - Form

Parent Email

Parent First Name

Parent Last Name

Enter the information below for each child who will be attending.

Child Name

Child Age

Child Name

Child Age

Registration and Payment: Select the entire series OR one or more individual sessions.

Total Registration Fee

Allergies

Please list any allergies of which we should be aware.

Photo Release (Yes/No and e-signature)

I give Temple Sholom permission to publish in print, electronic, or video format the likeness or image of my child(ren), including social media. I release all claims against the Temple with respect to copyright ownership and publication including any claim for compensation related to use of the materials.

Please write yes or no (depending on your stance on the above statement) and your name in the box above. Your name typed above will be treated as a signature.

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