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High Holy Days Children's Program/Service (K - 2nd grade)

Beth Israel’s High Holy Days Children’s Program is designed for children Kindergarten through 2nd grade. A meaningful age-appropriate program and service will enhance their High Holy Day Experience.

DATES: Rosh Hashanah morning, Thursday, October 3
Yom Kippur morning, Saturday, October 12

LOCATION: Please check in outside the school office.

TIME: 8:30 am - 10:30 am. All children must be picked up by 10:30 a.m.

COST: Children’s Programming is offered at no cost. However, pre-registration is required for both Rosh Hashanah and Yom Kippur. 

Please select which dates is your child will attend. 

PARENT INFORMATION

Parent/Guardian 1

Parent/Guardian 2

Please describe your family's custodial arrangements as related to scheduling and drop-off/pickup.

CHILD INFORMATION

EMERGENCY & MEDICAL INFORMATION

Please list your camper's allergies and any treatment necessary. If your camper uses an epipen, please be prepared to bring one for office staff to keep on file. 

 

LEGAL RESPONSIBILITY

By submitting this form, I give permission for my child to participate in the Beth Israel High Holy Days Children’s Program for children kindergarten - 2nd grade.

I authorize the Beth Israel staff conducting this program to consent, in my absence, to medical treatment to be rendered to my child under the supervision and upon the advice of a physician. I understand that Beth Israel staff may, in the event of a minor injury, take care of routine first aid needs, and in the event further medical treatment is required, the staff will obtain the appropriate care for my child and I will be notified. Should there be a cost for treatment, I understand the primary financial responsibility for such care belongs to me as a parent/legal guardian. I further understand that Beth Israel's insurance payments are secondary to my own and, if as a result from injury, there are medical expenses not covered by my own insurance, upon receipt of proper claim, I may apply for reimbursement from Beth Israel's insurance to a maximum limit of five thousand dollars.
I agree to the terms & conditions and wish to submit my application
Mon, October 14 2024 12 Tishrei 5785