Y&F Tie Dye- 10/22/23 & 10/29/23 - Form - Beth El Synagogue Center

PLEASE NOTE: To pay via eCheck/ACH (no fee), you must first be logged in your online Beth El account (for those who have one) at www.bethelnr.org. Otherwise, your only option will be to pay via credit card (2.9% fee).

We're so glad that you want to join us for tie dye! We are providing white shirts for everyone to tie dye. While we will provide smocks, please send your children in clothes that can get messy/dyed!

Adults: If you volunteer to assist, you can bring your own shirt and tie dye if time!

Preschool families: Please arrive at 12:30 pm. An adult must stay with children younger than Kindergarten.

Religious School families:

Religious School learners in Gan-Bet (K-2nd) who normally dismiss at 11 am will be able to stay at Beth El for Moadon for an additional $5.
Otherwise, please pick them up at 11 am and bring them back at 12:30 pm.
All RS learners who stay until 12 pm will have a supervised pizza lunch before the event starts.

Please arrive by 1:30 pm to pickup your child(ren).

Questions: Email Alyssa at aberman@bethelnr.org.

* How many children are you registering?

Child 1

* Child First Name

* Child Last Name

* T-shirt size:

* Will your child be dismissing from Religious School at 12 pm?

* Child's Grade

* If your child is in K-2nd grade (but not already participating in Moadon), will you need childcare from 11 am-12 pm for $5?

* Age of child

* Name of adult accompanying your preschool child.

* Does your child have any allergies or other needs that we should be aware of?

* I understand that my child's tie dye date is Sunday, October 22.

I understand that my child's tie dye date is Sunday, October 22.

* I understand that my child's tie dye date is Sunday, October 29.

I understand that my child's tie dye date is Sunday, October 29.

Child 2

* Child 2 First Name

* Child 2 Last Name

* T-shirt size:

* Will Child 2 be dismissing from Religious School?

* Child 2's Grade

* If your child is in K-2nd grade (but not already participating in Moadon), will you need childcare from 11 am-12 pm for $5?

* Age of Child 2

* Name of adult accompanying your preschool child.

* Does Child 2 have any allergies or other needs that we should be aware of?

* I understand that my child's tie dye date is Sunday, October 22.

I understand that my child's tie dye date is Sunday, October 22.

* I understand that my child's tie dye date is Sunday, October 29.

I understand that my child's tie dye date is Sunday, October 29.

Child 3

* Child 3 First Name

* Child 3 Last Name

* T-shirt size:

* Will Child 3 be dismissing from Religious School?

* Child 3's Grade

* If your child is in K-2nd grade (but not already participating in Moadon), will you need childcare from 11 am-12 pm for $5?

* Age of Child 3

* Name of adult accompanying your preschool child.

* Does Child 3 have any allergies or other needs that we should be aware of?

* I understand that my child's tie dye date is Sunday, October 22.

I understand that my child's tie dye date is Sunday, October 22.

* I understand that my child's tie dye date is Sunday, October 29.

I understand that my child's tie dye date is Sunday, October 29.

Other Information

* Emergency Contact: Name

* Emergency Contact Phone Number

I hereby state my permission for the staff of Beth El Synagogue Synagogue Center of New Rochelle to take my child to the Emergency Room in the event that I cannot be reached at any given number. All necessary treatment may be given at that time.

* Can Beth El Synagogue Center use photographs/images of your child for marketing purposes, including, but not limited to, the website? No children will be identified by name.

Please Select OneYesNo

* Adult First Name

* Adult Last Name

* Adult Email Address

* Best Adult Contact Number

Total: