Summer Program 2023 Interest Form

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I am a Temple MemberI am a returning summer familyI am new to the TSNS Summer Program!I applied for enrollment for the 2023-2024 TSNS School Year

Parent/Guardian 1 First Name

Parent/Guardian 1 Last Name

Parent/Guardian 1 Email Address

Parent/Guardian 1 Phone Number

Parent/Guardian 2 First Name

Parent/Guardian 2 Last Name

Parent/Guardian 2 Email Address

Parent/Guardian 2 Phone Number

Parent/Guardian 1 Home Address

Parent/Guardian 2 Home Address (if different than parent/guardian 1)

Child 1 Name

Child 2 Name

Child 1 Birthday

Child 2 Birthday

Tell us anything about your family you would like to share!

Do you anticipate needing extended hours beyond the 9:00-1:00 schedule? (Drop off options 7:30am, 8:30am/ pick up options: 3:30, 5:30) Please explain your desired schedule.

Fri, September 29 2023 14 Tishrei 5784