Munchkin Minyan North First Time Non-Member Family Registration

Munchkin Minyan North: First Time Non-Member Family

Munchkin Minyan North monthly Saturday morning programs are geared to children 7 years and younger. First time non-member participants are FREE! $10/per family for each session after the first one.

Child(ren) Attending*
Please write the names of child(ren) attending. Click the + sign to add a line for each attendee.
Full Name Date of Birth
Adult(s) Attending & Relationship to Child(ren)*
Please write the names of adult(s) attending and relationship to child(ren) attending. Click the + sign to add a line for each attendee.
Full Name Relationship
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Mobile Phone*
Email*
Please tell us how you heard of this event!*
- Temple Shalom Facebook Groups
- Other Facebook Page/Group
- Temple Shalom Website
- Temple Shalom Newsletter
- Friend/Family Member
- Texas Jewish Post
- Other
Please indicate the name of the Facebook Page/Group.*
Please indicate the name of the Friend/Family Member.*
Please indicate how you heard of this event.*
Photo Release--I consent to the use of images of anyone in our party as described below.*
Privacy and Use of Images Families may be photographed or videotaped as they participate in Temple activities, or they may be recorded in Temple Shalom video stream programs. On occasion, these images, and the identity of the persons depicted, may be used by Temple Shalom for educational, instructional, development and/or informational purposes in print, internet and digital media, including in news releases (e.g, Texas Jewish Post) and/or printed publications or materials, electronic publications, or websites. Temple Shalom will not sell images of Temple Shalom members or non-members or their families to third parties, and it will not use their images for promotional or advertising purposes that do not concern Temple Shalom and its programs.
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Full Name	Date of Birth

Full Name	Relationship