High Holy Days 2025 Childcare Registration Form

5713 Yates Mill Pond Rd.
Raleigh, NC 27606
919-858-7777
www.bethshalomnc.org

High Holy Days 5786/2025
Childcare Registration

Children in pre-kindergarten through the fifth grade can enjoy crafts and playtime during Rosh Hashanah Day One Morning Service on September 23 and Yom Kippur Morning Service on October 2. Drop-off begins at 9:15 a.m. Please complete the following information for each child whom you are registering.

In addition, if you choose, we are offering a Middle Grade High Holy Days Discussion for children in grades 4 to 7 during the Torah reading.

We also ask that parents of children who participate in our childcare help out by signing up for one of the shifts during Rosh Hashanah Day One Morning or Yom Kippur Morning Service.

For the schedule of services and activities, please visit our website. If you have questions, please contact the Beth Shalom Office.

We, at Beth Shalom, wish you and yours a very sweet, happy, and healthy new year!

Parent Information

Please complete the information below. At least one of the parents whose contact information is provided below or a designated responsible adult must be present at services during the time of childcare.

Parent 1 Name*

First NameLast Name

Parent 1 E-mail*

example@example.com

Parent 1 Cell Phone*

Parent 2 Name

First NameLast Name

Parent 2 E-mail

example@example.com

Parent 2 Cell Phone

Child Information

How many children are you registering for childcare during Rosh Hashanah Day One Morning Service?*

Child 1 Name RH*

First NameLast Name

Child 1 Grade RH*

Child 1 RH - Would you like your child to attend the Middle Grades High Holy Days Discussion?

YesNo

Child 1 - Please list any food allergies, restrictions, or special instructions that we need to be aware of.

Child 2 Name RH*

First NameLast Name

Child 2 Grade RH*

Child 2 RH - Would you like your child to attend the Middle Grades High Holy Days Discussion?

YesNo

Child 2 - Please list any food allergies, restrictions, or special instructions that we need to be aware of.

Child 3 Name RH*

First NameLast Name

Child 3 Grade RH*

Child 3 RH - Would you like your child to attend the Middle Grades High Holy Days Discussion?

YesNo

Child 3 - Please list any food allergies, restrictions, or special instructions that we need to be aware of.

Child 4 Name RH*

First NameLast Name

Child 4 Grade RH*

Child 4 RH - Would you like your child to attend the Middle Grades High Holy Days Discussion?

YesNo

Child 4 - Please list any food allergies, restrictions, or special instructions that we need to be aware of.

Child 5 Name RH*

First NameLast Name

Child 5 Grade RH*

Child 5 RH - Would you like your child to attend the Middle Grades High Holy Days Discussion?

YesNo

Child 5 - Please list any food allergies, restrictions, or special instructions that we need to be aware of.

How many children are you registering for childcare during Yom Kippur/Yizkor Morning Service?*

Child 1 Name YK*

First NameLast Name

Child 1 Grade YK*

Child 1 YK - Would you like your child to attend the Middle Grades High Holy Days Discussion?

YesNo

Child 1 - Please list any food allergies, restrictions, or special instructions that we need to be aware of.

Child 2 Name YK*

First NameLast Name

Child 2 Grade YK*

Child 2 YK - Would you like your child to attend the Middle Grades High Holy Days Discussion?

YesNo

Child 2 - Please list any food allergies, restrictions, or special instructions that we need to be aware of.

Child 3 Name YK*

First NameLast Name

Child 3 Grade YK*

Child 3 YK - Would you like your child to attend the Middle Grades High Holy Days Discussion?

YesNo

Child 3 - Please list any food allergies, restrictions, or special instructions that we need to be aware of.

Child 4 Name YK*

First NameLast Name

Child 4 Grade YK*

Child 4 YK - Would you like your child to attend the Middle Grades High Holy Days Discussion?

YesNo

Child 4 - Please list any food allergies, restrictions, or special instructions that we need to be aware of.

Child 5 Name YK*

First NameLast Name

Child 5 Grade YK*

Child 5 YK - Would you like your child to attend the Middle Grades High Holy Days Discussion?

Child 5 - Please list any food allergies, restrictions, or special instructions that we need to be aware of.

Volunteer Signup: Members Only

We ask that member families who are registering their child(ren) in our childcare program help by signing up at least one adult for at least one slot either during Rosh Hashanah Day One Morning Service or Yom Kippur Morning Service.

Adult Volunteer 1 Name

First NameLast Name

Adult Volunteer 1 Email (if different from above)

example@example.com

Adult Volunteer 1 Phone (if different from above)

(###) ###-####

Adult Volunteer 2 Name

First NameLast Name

Adult Volunteer 2 Email (if different from above)

example@example.com

Adult Volunteer 2 Phone (if different from above)

(###) ###-####

Rosh Hashanah Morning, Sept 23: 9:00-9:45am

Rosh Hashanah Morning, Sept 23: 9:45-10:15am

Rosh Hashanah Morning, Sept 23: 10:15-10:45am

Rosh Hashanah Morning, Sept 23: 10:45-close

Yom Kippur Morning, Oct 2: 9:00-9:45am

Yom Kippur Morning, Oct 2: 9:45-10:15am

Yom Kippur Morning, Oct 2: 10:15-10:45am

Yom Kippur Morning, Oct 2: 10:45-11:30am

Yom Kippur Morning, Oct 2: 11:30am-close