Home
Contact Us
Directions
Calendar

 

YOUTH GROUP EVENT ONLINE RSVP & PAYMENT

Student's Name:

Parent Cell:

Parent Email:
Student Cell:
Student Email:
Grade:
Allergies:
Medications:

By completing this Registration Form, I give my permission for my child, , to participate in . I hold harmless Congregation Kol Tikvah, The Youth Department and/or individual Advisors that may be part of this trip if any injuries may incur in transit to/from or during the event. I give Congregation Kol Tikvah, or an agent of Congregation Kol Tikvah in an advisor capacity for the Youth Department, permission to have my child treated at a medical facility in the event of a medical emergency and I cannot be contacted. I give Congregation Kol Tikvah permission to use and publish any photographs of my child from the event.