Sign In Forgot Password

Club 23

Saturday, September 28, 2019 28 Elul 5779

6:00 PM - 9:00 PMRm. 19

Club 23 joins the Circus for this year's kick-off event! Fly through the air on the obstacle course, watch aerial artists dance on the roof, and learn how to juggle at our own private Circus party at Buck's Sports Barn. Kids will get to watch circus performers and then learn some circus arts from them in a safe environment with professionals! Pizza included. 

We will meet at Sinai for pick up and drop off but eat at Buck's.

Please complete the Buck's Sports Barn waiver in advance.

Register

Login

or

Enter Your details

* Name
Address
* Email
* Phone
 
Please select the number 1 on the drop-down above

Someone other than a parent please


I give permission for photos of my child(ren) to appear in congregation and school-related publications such as the website, social media, D'var Sinai, School E-news or brochures.

Medical Release and Liability:

I hereby grant permission for my child to participate in all Temple Sinai youth programs, activities, field trips and events and do hereby release Temple Sinai, Inc., its respective directors, officers and employees of and from any and all claims whatsoever arising or which may arise by reason of my child’s participation in the programs, activities, field trips and events, including any claims due to personal injuries or illness.

 

In addition, I, the undersigned parent/guardian of the above child, do further certify that my child is physically able to participate in such activities and hereby authorize Temple Sinai and its authorized representatives as agents for the undersigned, to consent to any x-ray examination, anesthetic, medical or surgical diagnosis or treatment, and hospital care which is to be rendered under the general or specific supervision of any licensed physician or the staff of a licensed hospital, whether such diagnosis, examination or treatment is rendered at the office of the said physician, or at such hospital.

 

It is understood that this authorization is given in advance of any specific examination, diagnosis, treatment, or hospital care being required, and is given to provide authority and power on the part of our above named agents to give specific consent to any and all such examinations, diagnosis, treatment or hospital care which the aforementioned physician in the exercise of his/her best judgment may deem advisable. The undersigned agrees to bear the costs of all medical care and procedures required by the Child. The undersigned also agrees to maintain appropriate medical insurance coverage for the Child while participating in the temple’s programs, activities, field trips and events. The undersigned hereby releases Temple Sinai Inc., its respective directors, officers and employees from any claim arising out of any medical treatment the Child may require.

 

I have carefully read the above Medical Release and Liability Waiver and understand the terms and conditions of it and agree to be bound thereby.

Total $
 
Share Print Save To My Calendar
Sun, August 25 2019 24 Av 5779