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ARS Confirmation Class Registration

Thank you for your interest in Confirmation Class with Rabbi Schaefer!
Please note that you must be a member in good standing of Temple Ohabei Shalom to attend Confirmation Class. The class costs $360 for students, and please be in touch if you have questions regarding membership rates.
Email ars@ohabei.org with any questions.
Class will take place from 6:00 - 8:00 pm on Tuesday evenings, dinner included. Class dates are: December 3, 10, 17; January 7,14, 21, 28; February 4, 11, 25, March 3, 10, 17, 24. And our Confirmation service will occur on Friday March 27, 2020. Save the date!
Thanks!
If your child does not have a Hebrew name or you don't know it, let us know.

If you checked any allergies, please give us details:  Epi-pen information; if the allergy is inhaled, ingested or from contact; specific medication allergy.  This information is extremely important in the event of an emergency.

If yes, your child MUST bring their Epi-Pen to class weekly! 

(Ritalin, Prozac, etc.)

I understand it is TOS policy that that ALL participants in ARS programming must be vaccinated. 

(Even if your child does not have a Hebrew name or you don't know it, just let us know!)

If you checked any allergies, please give us details:  Epi-pen information; if the allergy is inhaled, ingested or from contact; specific medication allergy.  This information is extremely important in the event of an emergency.

If yes, your child must bring it with them weekly.

(Ritalin, Prozac, etc.)

I understand that it is TOS policy that ALL participants in ARS programming must be vaccinated.

Please scroll down to Family Information if you are not registering any more children.


FAMILY INFORMATION

PHOTO/MEDIA RELEASE
The Ansin Religious School of Temple Ohabei Shalom may use any individual or group photographs, written comments, video and/or audio recordings, taken at Temple Ohabei Shalom or elsewhere, documenting student in-school or out of school activities, for the purpose of promoting student enrollment and/or advertising the school, including, without limitation, on the Temple Ohabei Shalom website. TOS Staff is aware of the legal, moral, and ethical issues surrounding images of children in the public domain and will comply with all necessary guidelines. 

MEDICAL RELEASE
This health history is correct as far as I know. The person(s) herein described has my permission to engage in all prescribed activities except as noted above. I release Ohabei Shalom and its staff from all responsibilities other than classes, programs, and supervised and scheduled activities. In the event that I cannot be reached in an emergency, I hereby authorize the physician selected by the Ohabei Shalom Religious School Directors to hospitalize, secure proper treatment for and order injections, anesthesia, or surgery for my child named above. 

UNIVERSAL PERMISSION SLIP
My child(ren) has my permission to participate in field trips and youth group events planned by the Ansin Religious School of Ohabei Shalom during the 2019-2020 academic year. I understand that all trips will be adequately supervised and that transportation will either be by parental carpools, school buses, the MBTA or walking and that I will be informed beforehand of all such trips.

Please sign below indicating that all information provided is current and accurate to the best of your knowledge.

Please type first name and last name.

   $25
   $50
   $100
   $180 (half of a course)
   $360 (a full course scholarship)If you're willing to make a donation to cover scholarship for other Confirmation Class students, please click one of the choices. Thank you so much in advance! 
Thu, December 12 2019 14 Kislev 5780