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High Holy Day Babysitting Registration Form
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High Holy Day Babysitting Registration 5782
Temple Beth El is happy to offer a child care program for children ages 18 months to 7 years old while their parents attend Rosh Hashanah Services Tuesday September 7 and Wednesday September 8 from 10:30am-1:00 pm. Babysitting is also offered for Yom Kipper Services on Thursday October 16 from 10:30am-2:00 pm and from 4:45pm to 8:00 pm. Advanced registration is required for each holiday to insure that the ratio of staff to children is adequate. We ask you register no later than Monday August 30th. Reservations will be honored on a first come first, serve basis.
Parent 1 First Name
Parent 1 Last Name
Parent 2 First Name
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Rosh Hashanah Day #1-Tuesday September 7: Please list name, ages and allergies
Rosh Hashanah Day #2-Wednesday September 8: Please list name, ages and allergies
Yom Kippur-Thursday September 16: Please list name, ages and allergies
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Covid
Questionnaire
Children will not be allowed into babysitting with the completed questionnaire.
*
Has anyone in your household experienced symptoms of COVID-19 in the past 14 days?
Please Select One
Yes
No
Symptoms include: fever, shortness of breath, sore throat, loss of taste or smell, chills, muscle aches, digestive concerns, headaches, runny nose
*
Has anyone in your household been in close proximity to anyone who has tested positive for COVID-19 in the past 14 days? *
Please Select One
Yes
No
*
Has anyone in your household been tested for COVID-19 and is awaiting test results?
Please Select One
Yes
No
*
If you responded "Yes" to ANY of the above questions, please provide information here:
Please note, a "Yes" response is not an automatic exclusion from babysitting. Temple Beth El will discuss all "yes" responses with you before determining an outcome.
Mon, January 13 2025
13 Tevet 5785
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Mon, January 13 2025 13 Tevet 5785