Beth Ami Babies Playgroup - Form

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* Parent First Name

* Parent Last Name

* Parent Email

* Mobile

Calling all parents of babies!
Come meet and socialize with your peers and their babies.
Join us for an hour each week to schmooze and give your little one(s) the opportunity to play with other babies.

Light snacks and a few age-appropriate toys will be provided.

The Beth Ami Babies Playgroup is open to all caregivers with babies born after September 2021.

* How many adults will be attending?

Please enter the name(s) and contact information for each participating adult in the spaces below.

* First Name

* Last Name

* Please select the number of babies attending?

Please enter the name(s) and dates of birth for each child attending in the space provided.

* First Name

Nickname

Middle Name

* Last Name

Gender

Pronoun

Birthday

Hebrew Name

Mother Hebrew Name

Father Hebrew Name

* Do you currently have a child enrolled in the Gan Ami Early Childhood Program at Temple Beth Ami?

Please Select OneYesNoNot yet, but we are enrolled for the upcoming 2023-2024 school year!

* Do you currently have a child enrolled in Temple Beth Ami's Machane TBA Religious School?

Please Select OneYesNoNot yet, but we are enrolled for the upcoming 2023-2024 school year!

* Do you have a child who is/will be enrolled in a TBA Summer Program, either Gan Ami or Kayitz K-7?

Please Select OneYesNo

* Please share any known allergies for your child in the space below: (If none, please write NONE)

* Please review the following statements. By checking each box, you affirm your understanding of the following guidelines:

I/We will NOT attend a Beth Ami Babies session if anyone in my/our household has tested positive for COVID in the previous 10 days.I/We agree to use my/our best judgement about attending a program when a member of my/our household is sick (NOT Covid)I/We understand that Temple Beth Ami is a NUT-FREE environment. As such, I/we will NOT bring any food or snacks that may contain nuts.

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