This form is currently closed. During High Holiday Services, we will be offering babysitting and a High Holiday Program for children ages 2- 11 These programs will be divided, please specify which program you would like your child to join. Preschool program (Ages 2-5) Will take place in the preschool building. Elementary ages will take place in the Hebrew School trailers $18 donation per day per family is appreciated. Full Name:* First Name Last Name E-mail:* Phone Number:* Area Code Phone Number Pre-School Babysitting Ages 2-5 Rosh Hashana September 26th and 27th.Babysitting in Preschool Building 10:00 AM – 1:00 PM.Snacks will be served at approximately noon both days.Children will be escorted and supervised in shul during shofar blowing. Pre-School Babysitting ages 2-5: # of children registering123456 Children Names and Birthdates: Ex: Sara, Age 4 We will be joining: RH Sept. 16thSept. 17thYom Kippur Sept. 25th Pre-School Holiday Program Preschool Holiday Program September 16th &17th at 10:30 AM (in the babysitting room). Join us for an interactive Rosh Hashanah themed Tefillah circle, followed by activities and crafts. This holiday program is geared for children1-5 and parents are welcome to stay. Only register here if you do not plan on using the babysitting service. Pre-School Program ages 1-5: # of children registering123456 Children Names and Birthdates: Ex: Sara, Age 4 We will be joining: RH Sept. 16thRH Sept. 17thYK Sept. 25th K-6th Grade Program K-6th Grade Interactive High Holiday program and prayer. Babysitting Snacks will be served. K-3rd Grade Program # of children registering123456 4th-6th Grade Program # of children registering123456 Children Names and Birthdates: Ex: Sara, Age 4 We will be joining: All babysitting services are subject to demand RH Sept. 16th (10:00 AM - 1:00PM)RH Sept. 17th (10:00 AM - 1:00 PM)Yom Kippur Sept. 25th We look forward to seeing your family during the High Holidays. If you have not yet registered for services please visit www.jewishraleigh.org/hh5784 This services is free of charge, please consider donating to help cover the cost: $180$100$72$54$18 Total $0.00 Payment Credit Card Paypal 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 Month2024202520262027202820292030203120322033 Expiration YearPaypal has been selected. Payment will take place on the next page.Billing Address Street Address 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 Should be Empty: This page uses TLS encryption to keep your data secure.