Event Registration Form: 5/2/19 Challah Tots @ Friedel

Thursday, May 2, 2019

9:30-10:30 am

Friedel Jewish Academy (on the JCC campus)

335 S 132nd St, Omaha, NE 68154

Challah braiding, story time, crafts and more with tots and their favorite adult. Once a month Challah Tots takes place at Friedel Jewish Academy! This month families will experience a special activity with the innovations teacher while the challah bakes.

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* 1. Parent information (include names of all adults attending)

Name

ZIP/Postal Code

Email Address

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* 2. Name of Each Child Attending

Child 1

Child 2

Child 3

Child 4

Child 5

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* 3. Date of Birth of Each Child Attending

Child 1

Date

Child 2

Date

Child 3

Date

Child 4

Date

Child 5

Date

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* 4. How did you hear about this program? Please check all that apply.

Social Media

PJ Library e-News

Friend/Family

Synagogue (please specify below)

Website (please specify below)

Other (please specify below)

Provide clarification here for above answers:

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* 5. Photo release: PJ Library Omaha and Friedel Jewish Academy plan to take photos at this event and may use those photos for marketing purposes, including but not limited to, usage on their respective websites, newsletters, print materials, program promotions, Facebook page and other social media networks.

I agree to this photo release.

I would prefer photos of my family not be used/shared and understand that they may be given a color-coded name tag at the event to help facilitate my request.

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* 1. Parent information (include names of all adults attending)

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* 2. Name of Each Child Attending

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* 3. Date of Birth of Each Child Attending

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* 4. How did you hear about this program? Please check all that apply.

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* 6. Anything else you want us to know?