Parparim

Parparim: A Judaim-Infused Playgroup at Temple Emanu-El

Join facilitator, Niamh Maddock-Hallaren in the Sisterhood Lounge for Temple Emanu-El's new twos and threes group. There will be free play time, a guided parent-child activity, and more time to play and get to know each other. We are offering this group FREE OF CHARGE, please feel free to invite your friends! Parparim is designed for children ages 2-3 and takes place one Sunday a month from 9:45 AM - 11:00 am.

To populate your name and address information, please type your name (adult registered on your temple account) into the "enter a name" box.

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Parent/Guardian 1

* First Name

* Last Name

* Street Address

* City

State

--Select State--AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip Code

Home Phone

* Mobile Phone

Business Phone

* Email

Alternate Email

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Parent/Guardian 2

First Name

Last Name

Street Address

City

State

--Select State--AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip Code

Home Phone

Mobile Phone

Business Phone

Email

Alternate Email

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Child 1

* First Name

Middle Initial

* Last Name

Birthdate

Do you or your child have any support needs that we should be aware of? (e.g., wheelchair accessibility, sensory sensitivities, etc.)

Please Select OneNoYes

Please explain:

Does your child have any food, insect or environmental allergies?

Please Select OneNoYes

Please list:

Is there anything else you would like to share about your child or your family?

Please Select OneNoYes

Please list any additional information here:

Photo of this child

You can upload a maximum of 1 files.

Are you registering another child?

NoYes

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Child 2

First Name

Middle Initial

Last Name

Birthdate

Do you or your child have any support needs that we should be aware of? (e.g., wheelchair accessibility, sensory sensitivities, etc.)

Please Select OneNoYes

Please explain:

Does your child have any food, insect or environmental allergies?

Please Select OneNoYes

Please list:

Is there anything else you would like to share about your child or your family?

Please Select OneNoYes

Please list any additional information here:

Photo of this child

You can upload a maximum of 1 files.

Are you registering another child?

NoYes

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Child 3

First Name

Middle Initial

Last Name

Birthdate

Hebrew Name

School

Grade

Select GradePre-KK12345678-10

Options for Weekday Hebrew Classes

In Person
Tuesday Afternoons 4:30 PM - 6:30 PM 

OR

Online Zoom
Wednesday or Thursday - Time TBD
 

Choice of Weekday Hebrew Classes

Select OptionTuesday In PersonWednesday OnlineThursday Online

What would you like to sign up for?

Hebrew instructionLounge & Learn team class(Check all that apply)

Does your child have any learning issues that the school should be aware of?

Please Select OneNoYes

Please explain:

Does your child have an IEP?

Please Select OneNoYes

Please explain:

Does your child have any food, insect or environmental allergies?

Please Select OneNoYes

Please list:

Are there circumstances or issues regarding your child we should be aware of?

Please Select OneNoYes

Please explain:

Photo of this child

You can upload a maximum of 1 files.

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Permissions

I hereby authorize Temple Emanu-El to arrange emergency medical treatment for my child(ren) while attending this program:

YesNo

I hereby authorize Temple Emanu-El to photograph me and my child(ren) and use the images in print and electronically:

YesNo

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Emergency Information

Physician's Name

Physician's Phone

Health Insurance Company

Policy Number

Emergency Contact 1

Phone

Email

Emergency Contact 2

Phone

Email

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Click the "Submit" button below to complete your registration.

If you have any questions, contact Rachel Cohn at 401.331.1616 or rcohn@teprov.org.