Shalshelet MINI Registration
6 WEEK SUNDAY PROGRAM FOR 2-3RD GRADE GIRLS
Your Daughter's Name
*
First Name
Last Name
School
*
Grade 2026-27
*
2nd grade
3rd grade
Does your daughter have any allergies?
*
Yes
No
If yes, please detail here:
*
Sign up additional daughter?
*
No
Yes
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Second Daughter's Name
*
First Name
Last Name
School
*
Grade 2026-27
*
2nd grade
3rd grade
Does your daughter have any allergies?
*
Yes
No
If yes, please detail here:
*
Sign up a third daughter?
*
No
Yes
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Third Daughter's Name
*
First Name
Last Name
School
*
Grade 2026-27
*
2nd grade
3rd grade
Does your daughter have any allergies?
*
Yes
No
If yes, please detail here:
*
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Parent's Name
*
First Name
Last Name
Parent's Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Shul Affiliation
*
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Please confirm below
I understand this is a full 6 week program beginning Oct 25th-Nov 29th. Any missed program dates will not be refunded under any circumstances.
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Shalshelet MINI is a program to give 2-3rd grade girls a great time on Sunday mornings. We craft, play games, laugh, and practice singing and dancing for our end of program performance!
I understand there will be a small performance at the program end for all mothers and guests. It is NOT the same performance as the older girl's Shalshelet Program. Tentative Date: Nov 29th Evening
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Shalshelet MINI hours are on Sundays from 10am-12pm.
I understand pickup must be prompt. After 12:15pm there will be no supervision in the building.
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I agree that the program organizers, staff, and building are not responsible for any injury, loss, or damage that may occur during the program.
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Payment must be sent before submitting this form.
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Total:
Full payment must be sent before submitting this form
Cash is not available at this time.
Payment type
*
Zelle: swinter809@gmail.com
Venmo: shalsheletNY
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Zelle: swinter809@gmail.com
Scan QR code to send payment. Name will appear as "Sara Skaist"
Venmo: @shalsheletNY
Scan QR code to send payment
**Please write your daughter's full name in the memo!**
Upload a screenshot of your venmo/zelle confirmation receipt
*
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Questions? Email ShalsheletNY@gmail.com or call 786-423-9787
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