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TSY Registration Form 5778


Please provide contact information for a second contact that is not the parent above


By selecting yes you give Temple Sholom permission to post pictures of your child(ren) on their website and social media. Please understand our wholesome intent, very rarely do we use photos for advertisement. Most often we are sharing photos from events so that you and your family can see them as well.



If different from the address provided above.

If different from the address provided above.

If different from the address provided above.


Mon, October 23 2017 3 Cheshvan 5778