Urban Air Trampoline & Adventure Park Trip (Grades 4-7)

Urban Air Trampoline and Adventure Park Youth Event
For 4th through 7th Graders
Sunday, April 2, 2023 from 12:00 pm to 3:30 pm

Immediately after Yalla!, your child will be escorted by a Madrichol to the Social Hall where we'll enjoy a pizza lunch and then take a bus Urban Air Trampoline and Adventure Park located at 14401 Metcalf Ave. Parents will pick up their kids at the Temple at 3:30 pm.

The cost for this event is $20 per child.

Socks are a must! Students should wear comfortable clothing that they can move in. We will rent skates at the venue.

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 Gender

She/HerHe/HimThey/ThemOther

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

Participant Grade Level

4th Grade5th Grade6th Grade7th Grade

Please check both boxes for agreement

My child has permission to have pizza in the social hall after Yalla! on Sunday, April 2 at 12:00 pm and then ride the bus from The Temple, Congregation B'nai Jehudah to Urban Air Trampoline and Adventure Park located at 14401 Metcalf AveI will pick my child up at 3:30 pm from the Temple, Congregation B'nai Jehudah at 3:30 pm after the field trip. My child has permission to ride the bus back to the Temple.

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 starting at 12:00 pm on Sunday, April 2)

* Emergency Contact Full name

* Emergency Contact Phone Number

Consent

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 2 - Urban Air Trampoline and Adventure Park for 4th through 7th Graders - $20.00

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.