Erdi Hebrew School Barmitzvah Program 2024

Emergency Contact
Name
First Last
Relationship to child
Home phone
Mobile phone
Authorisations
- I hereby authorise Elwood Shule leaders and staff to obtain any medical care necessary for my child. I understand that in the case of emergency of any significant illness or injury, attempt will be made to contact myself when practical. I agree to pay for any cost that may occur as a result of the injury/illness.
- I consent to my child being photographed by Elwood Shule for educational or promotional purposes. No outside agency or individual will be allowed to photograph the children without parental consent. You may advise us in writing that you withdraw your consent at any time.
- I acknowledge my child may participate in activities within and outside the Shule's grounds. I authorise my child to participate in these activities.
- I authorise my phone number and email to be published in a class list.
- I agree to pay for any reckless damage done by my child at the program.
Cost of Program $250.00

PAYMENT OPTIONS: Online credit card payment can be made at: www.elwoodshule.org, "Payments" portal. Select "Other" and note Barmitzvah Program or Payment by direct debit to: Elwood Talmud Torah Congregation Inc National Bank BSB: 083231 Account: 500053758
General Information
I can assist the Barmitzvah program by occasionally volunteering
- Yes
- No
Privacy Policy*
I agree to the Elwood Shule privacy policy
Click here to read our privacy policy

Medical and Allergy details