6th - 8th Grade Escape Room - Event

6th through 8th Grade Escape Room Youth Event!

When:
Sunday, April 21 from 12:00 pm to 3:00 pm

Where:
Breakout KC Escape Room Park Place
11535 Ash Street
Leawood, KS 66211

Transportation/Details:

If your child is a Yalla! Student/MIT/Madrichol:

Directly after Yalla!, your students/MIT/Madrichol will come to the Social Hall for lunch. We will then board the bus to Breakout KC Escape Room. The bus will return to B'nai Jehudah at 3:00pm for you to pick up your child from the Temple.

If your child is NOT a Yalla student/MIT/Madrichol:

please drop them off at the Temple at 12:00 pm for the program and pick them up from the Temple at 3:00 pm.

The cost for this event is $20 per child.

Please email Rabbi Brazner at rabbibrazner@bnaijehudah.org with any questions.

Complete separate registration form for each child participating.

Parent/Guardian Information

* Parent/Guardian First Name

* Parent/Guardian Last Name

* Parent/Guardian Phone

* Parent/Guardian Email

Participant Information

* Participant First Name

Participant Preferred Name/Nickname

* Participant Last Name

* Preferred Pronouns

She/HerHe/HimThey/ThemOther

* Congregation (Put "N/A" if a member of B'nai Jehudah)

* Participant Grade Level

6th Grade7th Grade8th Grade

* Please select one of the following

Please Select OneMy child has permission to have pizza in the social hall after Yalla! on Sunday, April 21 at 12:00 pm and then ride the bus from The Temple, Congregation B'nai Jehudah to Breakout KC Escape RoomI will pick up my child after Yalla! and meet the bus at Breakout KC Escape Room Park Place

* Please select one of the following

Please Select OneMy child has permission to ride the bus from Breakout KC Escape Room Park Place to B'nai Jehudah after the event and I will pick up my child at the Temple at 3:00 pmI will pick up my child directly from Breakout KC Escape Room Park Place instead at 2:30 pm

Food Requirements

Gluten FreeDairy FreeVegetarianOther

"Other" food requirements? Please explain:

Emergency Contact Information

(Be sure that the emergency contact person listed will be available during this event on April 21)

* Emergency Contact Full name

* Emergency Contact Phone Number

Code of Conduct Agreement

* Conduct Agreement

Conduct AgreementParticipant agrees to participate in the programming and behave in a respectful and appropriate manner.

Registration Fees

* Registration Fees

Please Select OneApril 21 6th through 8th Grade Escape Room Youth Event

REFUND POLICY: If a minimum of 10 participants do not register, a full refund will be given. A partial refund may be given if the Participant cancels their registration within 3 days prior to the event.