Bar/Bat Mitzvah Registration 2024-2025

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EMERGENCY INFORMATION
Emergency Contact 1:*
Emergency Contact 1 Phone Number:*
Emergency Contact 2:*
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CONFIDENTIAL: Does your child have any allergies or other medical condition we should be aware of? If yes, please describe them and indicate special precautions or care needed.*
As the parent(s) or legal guardian of the above child, I/we authorize any adult acting on behalf of Chabad to hospitalize or secure treatment for my child, I further agree to pay all charges for that care and/or treatment. It is understood that if time and circumstances reasonably permit, Chabad personnel will try, but are not required, to communicate with me prior to such treatment. I hereby give permission for my child to participate in all school activities, join in class and school trips on and beyond school properties and allow my child to be photographed while participating in Chabad activities and that these pictures may be used for marketing purposes.*

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Fee:

$360
Total

$0.00

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