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Playground Drop-In
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Open Playground
Tuesdays in May 3:30-4:45
For children 0-3 with a trusted adult
Child Information
Child's name:
Date of birth:
Address:
Parent Information
Name:
Cell Phone Number:
Email:
Name:
Cell Phone Number:
Email:
*
Select Tuesdays attending
May 20th - WAITLIST ONLY; we are currently at capacity - please sign up here to put your name on the waitlist; you will be notified if a spot opens up
May 27th - WAITLIST ONLY; we are currently at capacity - please sign up here to put your name on the waitlist; you will be notified if a spot opens up
General Waiver
By acknowledging and signing below, I am delivering an electronic signature that will have the same effect as an original manual paper signature in reference to the Photo/Video release and general waiver. The electronic signature will be equally as binding as the original manual paper signature.
*
I hereby give permission for my child to participate in the playground drop-in that I have registered them for. I release Kaplan Nursery School, Sutton Place Synagogue, or any of its sponsors, benefactors or employees from any liability arising out of any injury to my child as a result of their participation. I understand that my child must be supervised by an adult at all times while on the playground.
I hereby give permission for my child to participate in the playground drop-in that I have registered them for. I release Kaplan Nursery School, Sutton Place Synagogue, or any of its sponsors, benefactors or employees from any liability arising out of any injury to my child as a result of their participation. I understand that my child must be supervised by an adult at all times while on the playground.
Electronic Signature:
Today's Date:
Sun, June 29 2025 3 Tammuz 5785
