Friday, April 4th | 5:30-6:30pm

Temple Beth Tzedek
1640 N. Forest Rd
Williamsville

Let's pop on over to Temple Beth Tzedek for some pre-Passover fun led by Rabbi Sara Rich and the TBT Youth Ed Committee! Complimentary dinner will be served.

Cost: Free

How many adults will be attending?

How many children will be attending with you?

Do you currently receive PJ Library Books?

Multiple Households?

Adults/Guardians are in separate Households

Children's Household

Parent/Guardian 1Parent/Guardian 2

Adult/Guardian 1

First Name

Last Name

Cell Phone

Street Address

City

State

Postal Code

Date of Birth

Adult/Guardian 2

First Name

Last Name

Cell Phone

Street Address

City

State

Postal Code

Date of Birth

Child 1

First Name

Last Name

Cell Phone

Date of Birth

Grade

Child 2

First Name

Last Name

Cell Phone

Date of Birth

Grade

Child 3

First Name

Last Name

Cell Phone

Date of Birth

Grade

Child 4

First Name

Last Name

Cell Phone

Date of Birth

Grade

Child 5

First Name

Last Name

Cell Phone

Date of Birth

Grade

Additional Information

Do you need any accommodations to make this experience meaningful?

Do you or your children have any allergies or health concerns? If so, please list.

I give permission for any photographs taken of my child(ren) be used for promotional purposes:

We consent to the Code of Conduct:

The adult facilitator can contact my child directly with program updates: