Babysitting & Child Care For High Holidays Form

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BABYSITTING & CHILD CARE FOR HIGH HOLIDAYS

Parent's Name

Address

City

State

Zip Code

Phone

* E-Mail

I would like to register the following child(ren) for babysitting:

#1 Child's Name

Age

Special Needs/Allergies

#2 Child's Name

Age

Special Needs/Allergies

#3 Child's Name

Age

Special Needs/Allergies

Cost is $25.00 per child each day.

First Child - Babysitting

Please select number of days

Erev Rosh Hashanah - 6:15 pmRosh Hashanah First Day - 9:00 amRosh Hashanah Second Day - 9:00 amYom Kippur - 9:00 am

Second Child - Babysitting

Please select number of days

Erev Rosh Hashanah - 6:15 pmRosh Hashanah First Day - 9:00 amRosh Hashanah Second Day - 9:00 amYom Kippur - 9:00 am

Third Child - Babysitting

Please select number of days

Erev Rosh Hashanah - 6:15 pmRosh Hashanah First Day - 9:00 amRosh Hashanah Second Day - 9:00 amYom Kippur - 9:00 am

Total

Thu, August 28 2025 4 Elul 5785

CONGREGATION RODEPH SHOLOM

2713 Bayshore Boulevard

Tampa, FL 33629