Leave this field empty

Smore Shabbat Sleepover

 

I give permission for my child to attend the S'more Shabbat Sleepover at Temple Israel. I release Temple Israel from all responsibility other than food, housing, and supervised activities. In case of medical emergency, I hereby give permission to the Director or his/her representative to authorize the administration of health care services to my child by a physician or other professional health care provider (eg. hospital, paramedic, nurse, etc.). I also give permission to the physician selected by the Director to hospitalize, secure proper treatment for, and to order injection, anesthesia, or surgery for my child. Every effort will be made by Temple Israel to immediately contact parents in the event of any emergency. I understand that my child will be expected to follow all rules and directions presented by the Director and that failure to do so could result in my child being sent home. Should this happen, I understand that it will be my responsibility to provide transportation for my child's early return.

We encourage those who are able to make a donation to the Campership Fund at this time and we encourage those who truly need assistance to request a campership at this time.

Camperships are available. Please do not allow financial constraints to keep your child(ren) from attending; however, we encourage every family to make an attempt to pay some portion of the cost of attendance.

Account Details

Enter your name and e-mail address for your confirmation

Payment Information

  

For added Security please check the box below.



Total: