ECEP New Family Account Creation Form

Welcome to the Early Childhood Education Program at Temple Sinai. Please complete this form so that we can create an account for you to register online. Once your account is created, we will email you with a link to log on to our registration page. If you have any questions, contact Amy Damast, ECEP Director, or Lara Davis, Program Coordinator.

* Parent/Guardian 1 First Name

* Parent/Guardian 1 Last Name

* Parent/Guardian 1 Email

* Parent/Guardian 1 Phone Number

Parent/Guardian 2 First Name

Parent/Guardian 2 Last Name

Parent/Guardian 2 Email

Parent/Guardian 2 Phone Number

* Child 1 First Name

* Child 1 Last Name

* Child 1 Date of Birth

Child 2 First Name

Child 2 Last Name

Child 2 Date of Birth

Child 3 First Name

Child 3 Last Name

Child 3 Date of Birth

I am interested in registering for:

ECEP School Year (early September - early June)ECEP Summer Camp ( 6 weeks from mid/late of June - late July)

Additional family information or comments that would be pertinent for creating an account for your family

Who referred you to Temple Sinai ECEP?

Sat, January 17 2026
28 Tevet 5786

Sat, January 17 2026 28 Tevet 5786

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