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2023-2024 Beth El Early Learning Center Stand-By-Status List

PARENT 1 INFORMATION

HOME ADDRESS

(Enter Apt #, Suite #, etc)
Please do NOT enter CELL #

BUSINESS INFORMATION

RELIGIOUS BACKGROUND


PARENT 2 INFORMATION

 (Please use a different email address than specified for Parent 1)

HOME ADDRESS (Parent 2)

Please do NOT enter CELL #

RELIGIOUS BACKGROUND 

BUSINESS INFORMATION







If YES, please list their ages below
If YES, please list their names below
If YES, please list their names below

TEMPLE MEMBERSHIP
Example:  Parents, grandparents, aunts, uncles, cousins, etc
If so, please list their names below

 

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Fri, February 3 2023 12 Sh'vat 5783