Central Synagogue - Acceptiva

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Drop in Baby Book Club
2019-2020

Children Birth - 12 months with a parent or other trusted grown up

Whether you’re looking to develop an early love of reading or just get out of the house with your new baby (or both!), join us for an engaging story time plus songs and play. Leave each session with a new book!

When:	Wednesday afternoons from 12:15 pm – 1:00pm with the exception of holidays and school vacations.
Days:	Wednesday, September 18, 2019 through Wednesday, June 3, 2020
Where:	Central Synagogue Community House, 8th Floor, Room 804 123 E 55th Street Click here for directions.
Price:	$20/Day (non-refundable)

Please note, due to space constraints, we can only accommodate one adult per child.

Questions? Contact centraltots@censyn.org

A separate registration is required for each child.

Package

Qty

Description

Amount

Total

5 Pack Baby Book club 2019-2020

$100.00

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Per Day

Qty

Description

Amount

Total

Daily Baby Book Club 2019-2020/per class

$20.00

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Total: $0.00

Child Information

Child's Name: *

(First and Last)

Birth Date: *

Gender: *

Parent No. 1 Information

Parent Name: *

(First and Last)

Home Phone: *

Cell Phone:

Work Phone: *

Email: *

Occupation: *

Company/Employer Name: *

Work Address: *

Address 2:

City, State, Zip Code

Parent No. 2 Information

Parent Name:

(First and Last)

Home Phone:

Cell Phone:

Work Phone:

Email:

Occupation:

Company/Employer Name:

Work Address:

Address 2:

City, State, Zip Code

Other Questions

Are you a member of Central Synagogue?

How did you hear about this class?

Photo & Video Release for Minors

**CENTRAL SYNAGOGUE PHOTO AND VIDEO RELEASE FOR CHILDREN UNDER 18 YEARS OF AGE**

Throughout the school year, Central Synagogue will photograph and record (audio & video) Nursery School children for the purposes of educational enrichment, member engagement and publicity. By giving approval below, it is understood that you, as the child's legal guardian, grant permission to Central Synagogue, its employees and its legal representatives, to publish, without charge, images (photograph & video) taken of your child on Central Synagogue's premises or in conjunction with a Central Synagogue event or for the purpose of a Central Synagogue publication. These images (photograph & video) may be used in any and all Central Synagogue publications, including electronic materials, the website, social media outlets, audio/visual presentations, promotional literature and/or advertising. These images (photograph & video) may also be used for professional purposes by the photographer on his/her website.

Photo & Video Release: *

Payer Information

First Name: *

Last Name: *

Mailing Address: *

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Telephone:

E-mail: *

A confirmation will be e-mailed to this address.

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *