jBaby Chicago Class Registration

New Moms Connect

New Moms Connect is a program for new mother's with infants 0-6 months old to meet weekly and have an opportunity to discuss or learn about meaningful topics such as sleeping, changing family relationships, and speech and language development in infants. The program will culminate with a family Shabbat dinner.

Dates: 5/4/17 - 6/1/17 (Shabbat dinner date TBA)
Day of week: Thursdays
Time: 10:00 - 11:15 am
Location: Chicago Sinai Congregation, 15 W. Delaware Pl., Chicago, IL 60610
Fee: $75.00

Sponsoring Organization(s)
Chicago Sinai Congregation

 
Contact Information
*Parent 1 First Name:
*Parent 1 Last Name:
Parent 2 First Name:
Parent 2 Last Name:
*Address 1:
Address 2:
*City:
*State:
*Zip:
*Preferred Phone:
*Email:
Name of Child Enrolling in Class
*Child First Name:
*Child Last Name:
*Child Birthdate:
(MM/DD/YYYY)
*Child Gender:
Are you enrolling a second child in the Class? If yes,
Child First Name:
Child Last Name:
Child Birthdate:
(MM/DD/YYYY)
Child Gender:
Do you have any other children in your household?
If yes, what are their names and ages?
Help us understand our community better:
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*How do you identify your family?
*Have you ever taken a class or been to a program or service sponsored by this organization before?

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