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Welcome Message from Rabbi Luna
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Jewish Summer Camp at TBE
Monday, June 16, 2025
•
20 Sivan 5785
9:30 AM - 1:30 PM
Adult Contact First Name
Adult Contact Last Name
E-mail address
Mobile
Number of Children
0
1
2
3
4
5
6
7
8
9
10
Temple Beth El Members $125.00
0
1
2
3
4
5
6
7
8
9
10
Non-Members $150.00
Total
Names of People who can pick up your child:
First Name and Last name
Phone number
First Name and Last name
Phone number
First Name and Last name
Phone number
Child 1 First Name
Child 1 Last Name
Incoming Grade Level
K-3rd
4th-5th
Special Accomodations
Allergies
Dietary Restrictions
Special Accomodations
If you checked any of the boxes please add details below.
Details of Special Accomodations
Child 2 First Name
Child 2 Last Name
Incoming Grade Level
K-3rd
4th-5th
Special Accomodations
Allergies
Dietary Restrictions
Special Accomodations
If you checked any of the boxes please add details below.
Details of Special Accomodations
Child 3 First Name
Child 3 Last Name
Incoming Grade Level
K-3rd
4th-5th
Special Accomodations
Allergies
Dietary Restrictions
Special Accomodations
If you checked any of the boxes please add details below.
Details of Special Accomodations
*
I give Temple Beth El permission to use my childs photo in promotional material, both printed and electronic.
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Sun, June 1 2025 5 Sivan 5785