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Yamim Nora'im 5786 Youth Registration

Please submit this form no later than September 1, 2025.

If you have any questions while filling out this form, please email Mia Rossi at mia@netivotshalom.org.


Head of Household:
Required
Required
Required
Required


Youth Programs - All youth (ages 2-12) must be registered in our youth program.

  • Ages 2-5 will meet in the large preschool classroom and yard. We invite adults with infants to use the small preschool room as a quiet area for napping and feeding.
  • Ages 5-12 will check in/out of Room 2. We will go to Strawberry Creek Park for snacks and outdoor playtime, as per the schedule.
  • Post B’nei Mitzvah students (ages 13-18) may apply to work as a Madrich/a.​

If you have any questions about the youth programs please email Hillary Fox at youth@netivotshalom.org.

Please select the number of youth in your household attending any services or programs.

Do not include youth who are not in your household (i.e., in the household of extended family or friends) as those tickets are not guaranteed. We will follow up with you about payment for youth outside your household if we are able to provide extra tickets.


Youth Program Registration for CHILD 1


Youth Program Registration for CHILD 2


Youth Program Registration for CHILD 3



Consider donating what you can to support the Break-fast and other community services, thank you.


Fri, August 8 2025 14 Av 5785