ELC Waitlist Form - Form - Temple Shalom

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ELC Waitlist Form

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Waitlist for Temple Shalom ELC 2023-2024

* Guardian First Name

* Guardian Last Name

* Guardian Email

* Child's First Name

* Chid's Last Name

* Chid's Birthdate

* When do you hope your child will begin at the ELC?

Please type your NAME and INITIALS and TODAY’S DATE to show you have read and understand that this is addition to our waitlist and choose your payment from the dropdown below.

* Wait List Fee

The fee per child to be on the list is $125.00.

Name

Initials

Today's Date

Sat, May 4 2024 26 Nisan 5784

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