Gan HaMishpacha: Winter 2022 Kangaroo Toddlers on the move Class Registration

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Use this form to pre-register for our Winter 2022 Kangaroos: Toddlers on the Move class. This class is an "adult and me" class for children ages 12-18 months. If you have any questions please reach out to the Gan Administration team.

All adults who attend this class must be vaccinated against COVID-19 and provide proof of vaccination.

Parent/Guardian Information

* Parent/Guardian First Name

* Parent/Guardian Last Name

* Parent/Guardian Email

Additional Parent/Guardian Information

Additional Parent/Guardian First Name

Additional Parent/Guardian Last Name

Additional Parent/Guardian Email

Child Information

* Child First Name

* Child Last Name

* Child Date of Birth

* Is your family a member in good standing at Adas Israel?

* Does this child have any siblings currently enrolled at Gan HaYeled? If yes, what is their sibling's name?

* Name of adult who will accompany child to Kangaroo sessions.

First and Last

* Relationship to child

* Email for adult who will be attending class with this child.

* Upload a photo of proof of COVID-19 vaccination for the adult who will be attending these classes.

* Please confirm which class you are registering for by selecting below.

Wed, April 24 2024 16 Nisan 5784

Gan HaMishpacha: Winter 2022 Kangaroo Toddlers on the move Class Registration

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