jBaby Chicago Playgroup Registration

jBaby Chicago Playgroups (W. Suburbs)

jBaby Chicago is excited to offer playgroups for Jewish & interfaith parents and babies 0-24 months of age living in Chicago. Share stories while the children play, making lasting connections for you and your family as you navigate this parenting adventure together. Siblings are welcome!

Dates: 01/07/2018 - 02/11/2018
Day of week: Sundays
Time: 10 - 11:30 am
Location: Samantha Fishbein, jBaby Parent Ambassador's Home (Lisle)
Fee: FREE

Preferred Playgroup Selection
*Please select your preferred playgroup (based on your child’s age):
 
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:
Have you signed up for jBaby Chicago?

*How did you hear about this class?
*How do you identify your family?
*Have you ever taken a class or been to a program or service sponsored by this organization before?

* (indicates required field)