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Third Annual Fundraiser
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Days of Awe Childcare
Section A: Parent Information
*
First Name (Primary)
*
Last Name (Primary)
*
Email (Primary)
*
Phone (Primary)
*
Relationship to Child(ren) (Primary)
*
First Name (Secondary)
*
Last Name (Secondary)
*
Email (Secondary)
*
Phone (Secondary)
*
Relationship to Child(ren) (Secondary)
*
How many children are you registering?
Please Select One
1 Child
2 Children
3 Children
4 Children
Child 1 Information
*
Child1 First Name
*
Child1 Last Name
*
Child 1 Age
*
Child 1 Childcare Selection
Please Select One
Member- Rosh Hashanah
Member- Yom Kippur
Member- Rosh Hashanah & Yom Kippur
Non Member- Rosh Hashanah
Non Member- Yom Kippur
Non Member- Rosh Hashanah & Yom Kippur
*
Child 1 Allergies or Medications
Please Select One
No
Yes
Does your child have allergies or medications we need to know about?
Child 1 Allergy/Medication Details
Please describe allergies and medications with dosage and timing.
Child 2 Information
*
Child 2 First Name
*
Child 2 Last Name
*
Child 2 Age
*
Child 2 Daycare Selection
Please Select One
Member- Rosh Hashana
Member- Yom Kippur
Member- Rosh Hashanah & Yom Kippur
Non Member- Rosh Hashanah
Non Member- Yom Kippur
Non Member- Rosh Hashanah & Yom Kippur
*
Student 2 Allergies or Medications
Please Select One
No
Yes
Does your child have allergies or medications we need to know about?
Student 2 Allergy/Medication Details
Please describe allergies and medications with dosage and timing.
Child 3 Information
*
Child 3 First Name
*
Child 3 Last Name
*
Child 3 Age
*
Child 3 Daycare Selection
Please Select One
Member- Rosh Hashanah
Member- Yom Kippur
Member- Rosh Hashanah & Yom Kippur
Non Member- Rosh Hashanah
Non Member- Yom Kippur
Non Member- Rosh Hashanah & Yom Kippur
*
Child 3 Allergies or Medications
Please Select One
No
Yes
Does your child have allergies or medications we need to know about?
Child 3 Allergy/Medication Details
Please describe allergies and medications with dosage and timing.
Child 4 Information
*
Child 4 First Name
*
Child 4 Last Name
*
Child 4 Age
*
Child 4 Childcare Selection
Please Select One
Member- Rosh Hashanah
Member- Yom Kippur
Member- Rosh Hashanah & Yom Kippur
Non Member- Rosh Hashanah
Non Member- Yom Kippur
Non Member- Rosh Hashanah & Yom Kippur
*
Child 4 Allergies or Medications
Please Select One
No
Yes
Does your child have allergies or medications we need to know about?
Child 4 Allergy/Medication Details
Please describe allergies and medications with dosage and timing.
Section C: Payment Information
Additional Contribution
***Days of Awe Campaign
1. Supporting Temple's Ongoing Operations
Building Fund
Endowment Fund
Cemetery Fund
General Fund
Rabbi Ashley Englander's Discretionary Fund
Rabbi Maya Glasser's Discretionary Fund
2. Supporting Our Worship
Gefen Family Choir & Music Fund
Prayer Book Fund
3. Supporting Our Youth and Education
Aaron Block Camp Scholarship Fund
E. Charles Oberdorfer Memorial Endowment
Freddie Cohn Camp Scholarship Fund
Korman Family Fund for Special Youth Activities
Marilyn Horn Memorial Endowment
Max Moss Awards
Michael A. Marco Endowment for Youth & Education
Paul Bucholtz Memorial Youth Fund
Schlesinger Youth Fund
TIR Teacher Appreciation
TIR Special Projects
4. Supporting our Acts of Loving Kindness
Bert Whitfield Memorial Food Relief
Dr. Lawrence and Kathy Kanter Fund for Jewish Preservation
Harold Bloom Interfaith Endowment Trust
Hofheimer Special Needs Fund
Israel L. & Cora Kaplan Interfaith Fund
Rabbi Lefkowitz Institute on Judaism
Samuel W. Wolfson Memorial Fund
Sandy Miller Social Action Fund
5. Supporting Our Auxiliaries
Sisterhood Braille Group
Temple Brotherhood Fund
Temple Sisterhood Fund
Wurn Family Library
T3 (Temple Twenties and Thirties)
6. Supporting Our History
Lippman Memorial Archives Fund
Amount
Total Amount
The total reflects all children enrolled and any contribution you elected. The next screen will take you to the payment screen. All childcare must be paid in full by September 21st, 2022. If you wish to pay by check please call Lynn 904-733-7078, and she will assist in the childcare registration.
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Fri, April 18 2025 20 Nisan 5785