Shabbat Morning Babysitting

Date Attending

October 5October 12October 19October 26

Child's Name

Home Phone Number

Age of Child

E-Mail

Can your child use the restroom without assistance?

Does your child have allergies?

Yes

If your child has allergies, please explain and let us know whether they use an epi-pen

If you give permission for the babysitting staff to assist with restroom needs, please provide your initials

I give permission for the babysitting staff to assist my child with restroom needs

YesNo please alert me so I can assist them myself.My child does not require assistance

If your child requires assistance with the restroom, please bring diapers and wipes for babysitters

Thu, January 2 2025
2 Tevet 5785

Register for the 2024-2025 School Year Now!

Thu, January 2 2025 2 Tevet 5785

Beth Shalom Congregation

8070 Harriet Tubman Lane

Columbia, MD 21044

410.531.5115