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SUPPORT US
2024 HHDs - Children's Activities Registration Form
Please verify reCaptcha before submitting the form.
Parent Details
*
Full Name of Parent 1
*
Email of Parent 1
*
Mobile of Parent 1
*
Service I will be attending
Please Select One
Progressive
Masorti
Have you or your children attended any Emanuel Synagogue events before?
Please Select One
Yes
No
*
OPTIONAL: Add another parent/guardian
Please Select One
Yes
No
Full Name of Parent 2
*
Email of Parent 2
*
Mobile of Parent 2
Service I will be attending
Please Select One
Progressive
Masorti
Child Details
Child 1
*
Surname
*
First Name
*
Date of Birth
*
Any Allergies/Medical Conditions?
Age Group
Please Select One
0-5 year olds
6-9 year olds
10-12 year olds
13-17 year olds
Tot's Activities Attending (0-5 year olds)
Rosh Hashanah Day 1 - Tot’s Service (Thu 3rd October, 10:30am - 11:15am)
Rosh Hashanah Day 1 - Child Minding (Thu 3rd October, 11:15am - 1:00pm)
Rosh Hashanah Day 2 - Tot’s Service (Fri 4th October, 10:30am - 11:15am)
Yom Kippur - Tot’s Service (Sat 12th October, 10:30am - 11:15am)
Yom Kippur - Child Minding (Sat 12th October, 11:15am - 3:00pm)
Family Sukkah Decorating (Wed 16th October, 5:30pm - 6:15pm)
Younger Children (6-9 year olds)
Rosh Hashanah Day 1 - Children’s Service (Thu 3 October, 9:30am - 10:15am)
Rosh Hashanah Day 1 - Younger Children’s Activities (Thur 3 October, 10:30am - 11:15am)
Rosh Hashanah Day 1 - Child Minding (Thu 3 October, 11:15am - 1:00pm)
Rosh Hashanah For Children - Day 2 - (Fri 4 October, 9:30am - 11:00am)
Shabbat Shuva for Children (Sat 5 October, 10:15am - 11:15am)
Yom Kippur - Children’s Service (Sat 12 October, 9:30am - 10:15am)
Yom Kippur - Younger Children’s Activities (Sat 12 October, 10:30am - 11:15am)
Yom Kippur - Child Minding (Sat 12 October, 11:15am - 3:00pm)
Family Sukkah Decorating (Wed 16 October, 5:30pm - 6:15pm)
Sukkot for Children (Thurs 17 October, 10:15am - 11:15am)
Shemini Atzeret for Children (Thur 24 October, 10:15am - 11:15am)
Simchat Torah for Children (Fri 25 October, 10:15am - 11:15am)
*
Do you give consent for your child to leave the children's activities or child minding space on their own?
Please Select One
Yes
No
Older Children (10-12 year olds)
Rosh Hashanah Day 1 - Children’s Service (Thu 3 October, 9:30am - 10:15am)
Rosh Hashanah Day 1 - Older Children’s Activities (Thur 3 October, 10:30am - 11:15am)
Rosh Hashanah Day 1 - Child Minding (Thu 3 October, 11:15am - 1:00pm)
Rosh Hashanah For Children - Day 2 - (Fri 4 October, 9:30am - 11:00am)
Shabbat Shuva for Children (Sat 5 October, 10:15am - 11:15am)
Yom Kippur - Children’s Service (Sat 12 October, 9:30am - 10:15am)
Yom Kippur - Older Children’s Activities (Sat 12 October, 10:30am - 11:15am)
Yom Kippur - Child Minding (Sat 12 October, 11:15am - 3:00pm)
Family Sukkah Decorating (Wed 16 October, 5:30pm - 6:15pm)
Sukkot for Children (Thurs 17 October, 10:15am - 11:15am)
Shemini Atzeret for Children (Thur 24 October, 10:15am - 11:15am)
Simchat Torah for Children (Fri 25 October, 10:15am - 11:15am)
*
Do you give consent for your child to leave the children's activities or child minding space on their own?
Please Select One
Yes
No
Teens (13-17 year olds)
Rosh Hashanah Teen Room* (Thurs 3 October, all day)
Yom Kippur Teen Room* (Sat 12 October, all day)
Yom Kippur for Teens (Sat 12 October, 3:00pm - 4:00pm)
Netzer Ma'amad - Oct 7 Commemoration (Thu 24 October, 6:00pm - 7:00pm)
*While we encourage teens to participate in the Synagogue's main Rosh Hashanah services, we are also setting up a room where teens can relax and connect with friends without disrupting those who want to pray. Stocked with snacks, board games, and handballs, it's the perfect space for teenagers to unwind and enjoy the new year in their own way.
*
Add Another Child?
Please Select One
Add another child
No more children
Child 2
*
Surname
*
First Name
*
Date of Birth
Any Allergies/Medical Conditions?
Age Group
Please Select One
0-5 year olds
6-9 year olds
10-12 year olds
13-17 year olds
Tot's Activities Attending
Rosh Hashanah Day 1 - Tot’s Service (Thu 3rd October, 10:30am - 11:15am)
Rosh Hashanah Day 1 - Child Minding (Thu 3rd October, 11:15am - 1:00pm)
Rosh Hashanah Day 2 - Tot’s Service (Fri 4th October, 10:30am - 11:15am)
Yom Kippur - Tot’s Service (Sat 12th October, 10:30am - 11:15am)
Yom Kippur - Child Minding (Sat 12th October, 11:15am - 3:00pm)
Family Sukkah Decorating (Wed 16th October, 5:30pm - 6:15pm)
Younger Children (6-9 year olds)
Rosh Hashanah Day 1 - Children’s Service (Thu 3 October, 9:30am - 10:15am)
Rosh Hashanah Day 1 - Younger Children’s Activities (Thur 3 October, 10:30am - 11:15am)
Rosh Hashanah Day 1 - Child Minding (Thu 3 October, 11:15am - 1:00pm)
Rosh Hashanah For Children - Day 2 - (Fri 4 October, 9:30am - 11:00am)
Shabbat Shuva for Children (Sat 5 October, 10:15am - 11:15am)
Yom Kippur - Children’s Service (Sat 12 October, 9:30am - 10:15am)
Yom Kippur - Younger Children’s Activities (Sat 12 October, 10:30am - 11:15am)
Yom Kippur - Child Minding (Sat 12 October, 11:15am - 3:00pm)
Family Sukkah Decorating (Wed 16 October, 5:30pm - 6:15pm)
Sukkot for Children (Thu 17 October, 10:15am - 11:15am)
Shemini Atzeret for Children (Thu 24 October, 10:15am - 11:15am)
Simchat Torah for Children (Fri 25 October, 10:15am - 11:15am)
*
Do you give consent for your child to leave the children's activities or child minding space on their own?
Please Select One
Yes
No
Older Children (10-12 year olds)
Rosh Hashanah Day 1 - Children’s Service (Thu 3 October, 9:30am - 10:15am)
Rosh Hashanah Day 1 - Older Children’s Activities (Thu 3 October, 10:30am - 11:15am)
Rosh Hashanah Day 1 - Child Minding (Thu 3 October, 11:15am - 1:00pm)
Rosh Hashanah For Children - Day 2 - (Fri 4 October, 9:30am - 11:00am)
Shabbat Shuva for Children (Sat 5 October, 10:15am - 11:15am)
Yom Kippur - Children’s Service (Sat 12 October, 9:30am - 10:15am)
Yom Kippur - Older Children’s Activities (Sat 12 October, 10:30am - 11:15am)
Yom Kippur - Child Minding (Sat 12 October, 11:15am - 3:00pm)
Family Sukkah Decorating (Wed 16 October, 5:30pm - 6:15pm)
Sukkot for Children (Thu 17 October, 10:15am - 11:15am)
Shemini Atzeret for Children (Thu 24 October, 10:15am - 11:15am)
Simchat Torah for Children (Fri 25 October, 10:15am - 11:15am)
*
Do you give consent for your child to leave the children's activities or child minding space on their own?
Please Select One
Yes
No
Teens (13-17 year olds)
Rosh Hashanah Teen Room* (Thu 3 October, all day)
Yom Kippur Teen Room* (Sat 12 October, all day)
Yom Kippur for Teens (Sat 12 October, 3:00pm - 4:00pm)
Netzer Ma'amad - Oct 7 Commemoration (Thu 24 October, 6:00pm - 7:00pm)
*While we encourage teens to participate in the Synagogue's main Rosh Hashanah services, we are also setting up a room where teens can relax and connect with friends without disrupting those who want to pray. Stocked with snacks, board games, and handballs, it's the perfect space for teenagers to unwind and enjoy the new year in their own way.
*
Add Another Child?
Please Select One
Add another child
No more children
Child 3
*
Surname
*
First Name
*
Date of Birth
Any Allergies/Medical Conditions?
Age Group
Please Select One
0-5 year olds
6-9 year olds
10-12 year olds
13-17 year olds
Tot's Activities Attending
Rosh Hashanah Day 1 - Tot’s Service (Thu 3rd October, 10:30am - 11:15am)
Rosh Hashanah Day 1 - Child Minding (Thu 3rd October, 11:15am - 1:00pm)
Rosh Hashanah Day 2 - Tot’s Service (Fri 4th October, 10:30am - 11:15am)
Yom Kippur - Tot’s Service (Sat 12th October, 10:30am - 11:15am)
Yom Kippur - Child Minding (Sat 12th October, 11:15am - 3:00pm)
Family Sukkah Decorating (Wed 16th October, 5:30pm - 6:15pm)
Younger Children (6-9 year olds)
Rosh Hashanah Day 1 - Children’s Service (Thu 3 October, 9:30am - 10:15am)
Rosh Hashanah Day 1 - Younger Children’s Activities (Thu 3 October, 10:30am - 11:15am)
Rosh Hashanah Day 1 - Child Minding (Thu 3 October, 11:15am - 1:00pm)
Rosh Hashanah For Children - Day 2 - (Fri 4 October, 9:30am - 11:00am)
Shabbat Shuva for Children (Sat 5 October, 10:15am - 11:15am)
Yom Kippur - Children’s Service (Sat 12 October, 9:30am - 10:15am)
Yom Kippur - Younger Children’s Activities (Sat 12 October, 10:30am - 11:15am)
Yom Kippur - Child Minding (Sat 12 October, 11:15am - 3:00pm)
Family Sukkah Decorating (Wed 16 October, 5:30pm - 6:15pm)
Sukkot for Children (Thurs 17 October, 10:15am - 11:15am)
Shemini Atzeret for Children (Thu 24 October, 10:15am - 11:15am)
Simchat Torah for Children (Fri 25 October, 10:15am - 11:15am)
*
Do you give consent for your child to leave the children's activities or child minding space on their own?
Please Select One
Yes
No
Older Children (10-12 year olds)
Rosh Hashanah Day 1 - Older Children’s Service (Thu 3 October, 9:30am - 10:15am)
Rosh Hashanah Day 1 - Older Children’s Activities (Thu 3 October, 10:30am - 11:15am)
Rosh Hashanah Day 1 - Child Minding (Thu 3 October, 11:15am - 1:00pm)
Rosh Hashanah For Children - Day 2 - (Fri 4 October, 9:30am - 11:00am)
Shabbat Shuva for Children (Sat 5 October, 10:15am - 11:15am)
Yom Kippur - Children’s Service (Sat 12 October, 9:30am - 10:15am)
Yom Kippur - Older Children’s Activities (Sat 12 October, 10:30am - 11:15am)
Yom Kippur - Child Minding (Sat 12 October, 11:15am - 3:00pm)
Family Sukkah Decorating (Wed 16 October, 5:30pm - 6:15pm)
Sukkot for Children (Thu 17 October, 10:15am - 11:15am)
Shemini Atzeret for Children (Thu 24 October, 10:15am - 11:15am)
Simchat Torah for Children (Fri 25 October, 10:15am - 11:15am)
*
Do you give consent for your child to leave the children's activities or child minding space on their own?
Please Select One
Yes
No
Teens (13-17 year olds)
Rosh Hashanah Teen Room* (Thu 3 October, all day)
Yom Kippur Teen Room* (Sat 12 October, all day)
Yom Kippur for Teens (Sat 12 October, 3:00pm - 4:00pm)
Netzer Ma'amad - Oct 7 Commemoration (Thu 24 October, 6:00pm - 7:00pm)
*While we encourage teens to participate in the Synagogue's main Rosh Hashanah services, we are also setting up a room where teens can relax and connect with friends without disrupting those who want to pray. Stocked with snacks, board games, and handballs, it's the perfect space for teenagers to unwind and enjoy the new year in their own way.
*
Add Another Child?
Please Select One
Add another child
No more children
Child 4
*
Surname
*
First Name
*
Date of Birth
Any Allergies/Medical Conditions?
Age Group
Please Select One
0-5 year olds
6-9 year olds
10-12 year olds
Teens
Tot's Activities Attending
Rosh Hashanah Day 1 - Tot’s Service (Thu 3rd October, 10:30am - 11:15am)
Rosh Hashanah Day 1 - Child Minding (Thu 3rd October, 11:15am - 1:00pm)
Rosh Hashanah Day 2 - Tot’s Service (Fri 4th October, 10:30am - 11:15am)
Yom Kippur - Tot’s Service (Sat 12th October, 10:30am - 11:15am)
Yom Kippur - Child Minding (Sat 12th October, 11:15am - 3:00pm)
Family Sukkah Decorating (Wed 16th October, 5:30pm - 6:15pm)
Younger Children (6-9 year olds)
Rosh Hashanah Day 1 - Children’s Service (Thu 3 October, 9:30am - 10:15am)
Rosh Hashanah Day 1 - Younger Children’s Activities (Thu 3 October, 10:30am - 11:15am)
Rosh Hashanah Day 1 - Child Minding (Thu 3 October, 11:15am - 1:00pm)
Rosh Hashanah For Children - Day 2 - (Fri 4 October, 9:30am - 11:00am)
Shabbat Shuva for Children (Sat 5 October, 10:15am - 11:15am)
Yom Kippur - Children’s Service (Sat 12 October, 9:30am - 10:15am)
Yom Kippur - Younger Children’s Activities (Sat 12 October, 10:30am - 11:15am)
Yom Kippur - Child Minding (Sat 12 October, 11:15am - 3:00pm)
Family Sukkah Decorating (Wed 16 October, 5:30pm - 6:15pm)
Sukkot for Children (Thu 17 October, 10:15am - 11:15am)
Shemini Atzeret for Children (Thu 24 October, 10:15am - 11:15am)
Simchat Torah for Children (Fri 25 October, 10:15am - 11:15am)
*
Do you give consent for your child to leave the children's activities or child minding space on their own?
Please Select One
Yes
No
Older Children (10-12 year olds)
Rosh Hashanah Day 1 - Children’s Service (Thu 3 October, 9:30am - 10:15am)
Rosh Hashanah Day 1 - Older Children’s Activities (Thur 3 October, 10:30am - 11:15am)
Rosh Hashanah Day 1 - Child Minding (Thu 3 October, 11:15am - 1:00pm)
Rosh Hashanah For Children - Day 2 - (Fri 4 October, 9:30am - 11:00am)
Shabbat Shuva for Children (Sat 5 October, 10:15am - 11:15am)
Yom Kippur - Children’s Service (Sat 12 October, 9:30am - 10:15am)
Yom Kippur - Older Children’s Activities (Sat 12 October, 10:30am - 11:15am)
Yom Kippur - Child Minding (Sat 12 October, 11:15am - 3:00pm)
Family Sukkah Decorating (Wed 16 October, 5:30pm - 6:15pm)
Sukkot for Children (Thu 17 October, 10:15am - 11:15am)
Shemini Atzeret for Children (Thu 24 October, 10:15am - 11:15am)
Simchat Torah for Children (Fri 25 October, 10:15am - 11:15am)
*
Do you give consent for your child to leave the children's activities or child minding space on their own?
Please Select One
Yes
No
Teens (13-17 year olds)
Rosh Hashanah Teen Room* (Thurs 3 October, all day)
Yom Kippur Teen Room* (Sat 12 October, all day)
Yom Kippur for Teens (Sat 12 October, 3:00pm - 4:00pm)
Netzer Ma'amad - Oct 7 Commemoration (Thu 24 October, 6:00pm - 7:00pm)
*While we encourage teens to participate in the Synagogue's main Rosh Hashanah services, we are also setting up a room where teens can relax and connect with friends without disrupting those who want to pray. Stocked with snacks, board games, and handballs, it's the perfect space for teenagers to unwind and enjoy the new year in their own way.
Volunteering
In order to make our child-minding service happen, we need your help! We want to make sure all parents have the opportunity to spend time in the prayer services, while also providing adequate supervision for the children. If you, or other adult members of your family, are able to help us with child supervision for a short shift during the day or preparations beforehand, please indicate below.
Members of my family are able to volunteer
Please Select One
Yes
No
Names and Availability of Volunteers
Do you have a Working With Children Check?
Please Select One
Yes
No
*
MEDICAL CONSENT
Please Select One
Yes
No
In the event of an emergency involving my child I give my consent for Emanuel Synagogue to seek and administer the appropriate medical care at my expense, with the understanding that I will be notified as soon as possible of any such incident.
*
RELEASE AND INDEMNITY
Please Select One
I agree
I agree that Emanuel Synagogue will not be responsible for any injury or loss which my child may suffer while attending the programs. I accordingly hereby release Emanuel Synagogue as well as any of its officers, staff (both administrative and nonadministrative) from any liability for any such injury or loss and indemnify each of them against all actions, claims or proceedings which may be brought against all or any of them by reason thereof.
*
AGREEMENT TO REMAIN ON CAMPUS
Please Select One
I agree
I agree to remain on campus at all times, and inform a child-supervisor when I drop off or pick up a child.
If my child is not toilet-trained, I agree to remain with them at all times.
Wed, 9 July 2025
13 Tammuz 5785
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Wed, 9 July 2025 13 Tammuz 5785