Family Time Interest

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?

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How did you hear about our program?

* Guardian - First Name

* Guardian - Last Name

* Guardian - Email Address

* Guardian - Mobile Phone

* Address

* City

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* Zip Code

* How many children in your home are of Family Time age (under 2)?

Child 1 - First Name

Child 1 - Last Name

Child 1 - Date of Birth

Child 1 - Gender

Child 2 - First Name

Child 2 - Last Name

Child 2 - Date of Birth

Child 2 - Gender

Child 3 - First Name

Child 3 - Last Name

Child 3 - Date of Birth

Child 3 - Gender

Are there older siblings in your family?

Please Select OneYesNo

Please share names and ages:

Fri, September 22 2023 7 Tishrei 5784