Friend or relative to be contacted if parents cannot be reached. |
| Please list any medications
being taken, any allergies or any other medical problems/restrictions,
etc. |
| In the event my above named minor child
becomes ill or sustains an injury while in the care of
or under the supervision of Congregation Beth Torah,
any of its officers, teachers, employees or authorized
agents or licensed paramedics are given permission to
administer first aid for the child’s relief.
I hereby agree to assume full financial responsibility
for such expense. |
| 7/84 – It is
a requirement of the Bureau of Jewish Education that
each child obtain five (5) years of Sunday School and
four (4) years of Hebrew School for Bar/Bat Mitzvah |