Midday Music & Play with PJ Library

Event Id

Midday Music Dec 10

Wednesday, December 10

12:30 pm | Community House

Connect with other families with infants in our community over music, stories, puppets, and more at this fre special edition of our Midday Music & Play drop-in class. Representatives from PJ Library will be in attendance to distribute free children's books to take home.

⚠️ All questions marked with a red asterisk (*) are required. All other questions are optional.

Parent Information

Parent First Name

Parent Last Name

Phone

Relationships to the Child

Is this child part of a household that has an active membership with Central Synagogue?

YesNo

Child's Information

Child's First Name (full first name -- no nicknames please!)

Please enter this child's FULL first name -- no nicknames, please!

Child's Last Name

Child's Birthdate

Please let us know of any allergy your child may have:

Disclosures

Throughout the school year, Central Synagogue will photograph and record (audio & video) LCLJ children for the purposes of educational enrichment, member engagement and publicity. By giving approval below, it is understood that you, as the child's legal guardian, grant permission to Central Synagogue, its employees and its legal representatives, to publish, without charge, images (photograph & video) taken of your child on Central Synagogue's premises or in conjunction with a Central Synagogue event or for the purpose of a Central Synagogue publication. These images (photograph & video) may be used in any and all Central Synagogue publications, including electronic materials, the website, social media outlets, audio/visual presentations, promotional literature and/or advertising. These images (photograph & video) may also be used for professional purposes by the photographer on his/her website.

Central Synagogue may use my child's image (photograph and videos).

YesNo

I understand and agree that Central Tots reserves the right to cancel any class where the minimum number of children enrolled is not reached.

Contact Information