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Family Time Interest
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Thank you for your interest in Family Time!
Classes are available for babies through two years of age to attend with a
significant adult.
Each class is an hour and fifteen minutes in length and each year we run fall, spring & summer sessions.
For more information and to be added to our email list, please completely fill out and submit this form.
Today's Date:
Are you a Member of B'nai Torah?
Yes
No
How did you hear about our program?
*
Guardian - First Name
*
Guardian - Last Name
*
Guardian - Email Address
*
Guardian - Mobile Phone
*
Address
*
City
*
State
--Select State--
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District of Columbia
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*
Zip Code
*
How many children in your home are of Family Time age (under 2)?
Please Select One
One child
Two children
Three children
Child 1 - First Name
Child 1 - Last Name
Child 1 - Date of Birth
Child 1 - Gender
N/A or Unknown
Male
Female
=
Child 2 - First Name
Child 2 - Last Name
Child 2 - Date of Birth
Child 2 - Gender
N/A or Unknown
Male
Female
\
Child 3 - First Name
Child 3 - Last Name
Child 3 - Date of Birth
Child 3 - Gender
N/A or Unknown
Male
Female
Are there older siblings in your family?
Please Select One
Yes
No
Please share names and ages:
Mon, June 5 2023 16 Sivan 5783