YLE Interest Form - Form - Temple Emanu-El

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YLE Interest Form

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* First Name

* Last Name

Email

* Cell Number

First Name of Second Adult

Leave blank if not applicable

Last Name of Second Adult

Leave blank if not applicable

Email of Second Adult

Leave blank if not applicable

Cell Number of Second Adult

Leave blank if not applicable

* Name of child

First and last name

Grade of child one (22-23 school year)

* Birthday of child one

Name of child two

First and last (leave blank if not applicable)

Grade of child two (22-23 school year)

leave blank if not applicable

Birthday of child two

Leave blank if not applicable

Is there anything we should know about your child(ren)?

Tue, April 23 2024 15 Nisan 5784

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