Kid's Yom Kippur Registration 2026
Sunday, October 20th at 7:30 PM | Please fill out this form and click submit.
***Please make sure you have secured your spot on our
general registration
before registering your kids***
Name of Adult
*
Email
*
This address will receive a confirmation email
Phone
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
How many children are you registering?
*
Please select one option.
1
2
3
4
Select Option
1
2
3
4
Names and ages of the children attending
Are you the guardian of the child(ren) you are registering?
*
Please select one option.
Yes
No
Select Option
Yes
No
My kids will be attending:
*
Please select all that apply.
Kol Nidre (Yom Kippur) *includes kids program
Havdalah + Break Fast
Please list any food allergies your child has here.
Sign up for both Yom Kippur programs or choose individually. All prices include cost of staff, materials, and food.
Builder Family ($0)
Kol Nidre and Break Fast (1 child) ($30)
Kol Nidre and Break Fast (2 children) ($60)
Kol Nidre and Break Fast (3 children) ($90)
Kol Nidre and Break Fast (4 children) ($120)
Havdalah + Break Fast Only (1 child) ($12)
Havdalah + Break Fast Only (2 children) ($24)
Havdalah + Break Fast Only (3 child) ($36)
Havdalah + Break Fast Only (4 children) ($48)
Kol Nidre Only (1 child) ($18)
Kol Nidre Only (2 children) ($36)
Kol Nidre Only (3 children) ($54)
Kol Nidre Only (4 children) ($72)
Builder Family ($0)
Kol Nidre and Break Fast (1 child) ($30)
Kol Nidre and Break Fast (2 children) ($60)
Kol Nidre and Break Fast (3 children) ($90)
Kol Nidre and Break Fast (4 children) ($120)
Havdalah + Break Fast Only (1 child) ($12)
Havdalah + Break Fast Only (2 children) ($24)
Havdalah + Break Fast Only (3 child) ($36)
Havdalah + Break Fast Only (4 children) ($48)
Kol Nidre Only (1 child) ($18)
Kol Nidre Only (2 children) ($36)
Kol Nidre Only (3 children) ($54)
Kol Nidre Only (4 children) ($72)
Amount
We sometimes take photos, audio, and video recordings to use on our website, social media, and other media outlets, and require explicit consent to use media with children. Please check this box to give permission for photos of your child(ren) to be used in promotional materials for Ma'alot and Oak Leaf:
Please select all that apply.
I consent to photos of my children being used in promotional materials.
Community agreement:
*
Please select all that apply.
I agree to remain at home if I am feeling unwell. I agree to remain home if my child is unwell.
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
Description
Sunday, October 20th at 7:30 PM
Please fill out this form and click submit.
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