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Thank you for your interest in enrolling your child(ren) in the Early Childhood Center (ECC) at Temple Sinai. We look forward to welcoming you into our community. Please complete this form and our staff will reach out to you within 48 hours to schedule a tour.

Parent Information

* Parent1 First Name

* Parent1 Last Name

* Email Address

* Phone Number

Home Address

* Street Name

* City

* State

* Zip Code

Parent2 First Name

Parent2 Last Name

Email Address

Phone Number

Home Address

(If different from Parent 1 Home address , then please provide the following details)

Street Address

City

State

Zip Code

Children Information

How many children do you have ?

Name of Child

Gender

Date of Birth

Current School

Name of Child

Gender

Date of Birth

Current School

Name of Child

Gender

Date of Birth

Current School

Name of Child

Gender

Date of Birth

Current School

Are you a member of Temple Sinai?

Please Select OneYesNo

Are you a member of another synagogue or religious institution? If so, where:

How did you hear about the ECC?

What are the three most important aspects of a preschool for your family?

Program(s) of Interest (select all checkboxes that apply)

Disclaimer : It is important to note that all children must be current on all New Jersey mandated immunizations in order to attend our school. It is our religious belief that a community has an obligation to protect all of its members and that immunizations are an important part of that process. We respect a family’s right to choose not to immunize their child, however that choice will preclude un-immunized children from being accepted into our program.

Sun, May 28 2023 8 Sivan 5783