Your Information Full Name* First Name Last Name Address* Street Address Street Address Line 2 City State / Province Postal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOther Country Phone Number* Area Code Phone Number E-mail* Babysitting Group The babysitting group for Rosh Hashanah and Yom Kippur is for ages 18 months – 3 years old. Children's Program The children's program for Rosh Hashanah and Yom Kippur is for ages 4 – 12 years old. It will be a camp style program led by great counselors with prayer, learning about the Holiday, snacks, fun activities, lunch, sports with a coach, prizes and more. Which program will your child(ren) be attending:* Select all that apply Babysitting Group: Ages 18 Months - 3 YearsChildren's Program: Ages 4-12 Babysitting GroupAges 18 months - 3 years | $20 per child, per day How many children will be joining:* Ages 18 months - 3 years 12 Child #1: Name* Child #1: Date of Birth* So we can assign your child to the correct group Month Day Year Child #1: Gender* BoyGirl Which days will Child #1 be attending:* Select all that apply Sep 12: Rosh Hashana day 1Sep 13: Rosh Hashana day 2Sep 20: Yom Kippur EveSep 21: Yom Kippur Day Child #2 Name* Child #2: Date of Birth* So we can assign your child to the correct group Month Day Year Child #2: Gender* BoyGirl Which days will Child #2 be attending:* Select all that apply Sep 12: Rosh Hashana day 1Sep 13: Rosh Hashana day 2Sep 20: Yom Kippur EveSep 21: Yom Kippur Day Children's ProgramAges 4-12 | $30 per child (includes all 4 days) Which days will your child(ren) be attending:* Select all that apply Sep 12: Rosh Hashana day 1Sep 13: Rosh Hashana day 2Sep 20: Yom Kippur EveSep 21: Yom Kippur Day How many children will be joining:* Ages 4 - 12 1234 Child #1: Name* Child #1: Date of Birth* So we can assign your child to the correct group Month Day Year Child #1: Gender* BoyGirl Child #2: Name* Child #2: Date of Birth* So we can assign your child to the correct group Month Day Year Child #2: Gender* BoyGirl Child #3: Name* Child #3: Date of Birth* So we can assign your child to the correct group Month Day Year Child #3: Gender* BoyGirl Child #4: Name* Child #4: Date of Birth* So we can assign your child to the correct group Month Day Year Child #4: Gender* BoyGirl Total $0.00 Payment* Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code Name on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Expiration Month2026202720282029203020312032203320342035 Expiration Year I would like to receive news and updates by email Submit Should be Empty: This page uses TLS encryption to keep your data secure.