Shalom Tots Registration

Which experience(s) are you registering for today?*
- Tots & Pots, Feb 5 @ 10am
- Purim Party, Mar 3 @ 5pm
- Making More with Matzo @ 10am
- Party in PJs @ 10am
Name*
FirstLast
Address*
Street AddressCityStateZip Code
Email*
Phone*
Are you a member of a Synagogue?
- Yes
- No
If Yes, which one?
Number of Kids in Your Household
Ages of Kids in Your House (check all that apply)
- 0-2
- 3-5
- 6-8
How did you find Shalom Tots?
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