December 14: 6th, 7th and 8th Grade Shul-In

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6th, 7th and 8th Grade Shul-In
Saturday, December 14 at 5:00pm - 9:00pm

Come enjoy a night to remember at the Shul-In! This fun-filled evening includes dinner, sweet treats, lots of games, Gaga, Hanukkah party, donut decorating and more!

Please complete a 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

Participant Phone

Participant Email

* Congregation (if not B'nai Jehudah members)

Which grade level is your child in?

Grade 6Grade 7Grade 8

Food Requirements

Gluten FreeDairy FreeVegetarianOther

"Other" food requirements? Please explain:

Does the participant have/need an inhaler, Epi-pen, insulin, seizure medication, or other emergency medication?

List all medications and instructions.

Does the participant have medication(s) that will need to be taken during the overnight?

List all medications, times to be taken, and be sure to hand them to Rabbi Brazner when you drop-off the participant.

Emergency Contact Information

(Be sure that the emergency contact person listed will be available if needed during this event on December 14-15)

* 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 One6th, 7th or 8th grade Shul-In participant - $25

Total Amount Due

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 before the event.

Tue, July 8 2025 12 Tammuz 5785

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