Bonfire and Bonding for Grades 7-8 - Form

Join Sylvie, Aya, and Liel for a fun night featuring marshmallow roasting, great friends, and lots of fun!
This program is in Reb Steve's backyard (15 Avenal Drive) from 7:30-8:30, and everyone will be required to wear masks aside from eating the marshmallows socially distanced.

DISCLAIMER - EXCLUSION OF LIABILITY

Notice to all Attendees and Users of Beth Tzedec Congregation Prayer Services and Facilities

As a condition of attending and using the facilities of Beth Tzedec Congregation ("Beth Tzedec"), I assume all health risks relating to contracting COVID-19 while using the facilities of Beth Tzedec and agree that Beth Tzedec and its directors, officers, employees, agents, volunteers, sponsors and representatives shall not be liable for any illness or other consequences that may be attributed to my attendance and use of the facilities of Beth Tzedec and I hereby waive all claims against Beth Tzedec and its directors, officers, employees, agents, volunteers, sponsors and representatives with respect thereto. I further agree that the assumption of risks, agreement and waiver herein shall also apply to any minor person who attends with me and uses the facilities of Beth Tzedec.

* Do you accept all of the above conditions for any minor person who attends with you at Beth Tzedec?

Please Select OneYesNo

USE OF INFORMATION

As a condition of Beth Tzedec considering my request to attend and use the facilities of Beth Tzedec, I authorize and consent to Beth Tzedec collecting and maintaining the data or information provided by me to Beth Tzedec and I authorize and consent to Beth Tzedec providing such data or information to a public health authority or to any other person as may be considered by Beth Tzedec to be appropriate in the circumstances and I agree that Beth Tzedec and its directors, officers, employees, agents, volunteers, sponsors and representatives shall not be liable for providing any such information or data and I hereby waive all claims against Beth Tzedec and its directors, officers, employees, agents, volunteers, sponsors and representatives with respect thereto. I further agree that this authorization, consent, agreement and waiver shall apply to any minor person in respect of whom I have provided information or data to Beth Tzedec.

* Do you accept all of the above conditions for any minor person wth respect to whom you will be providing data or information to Beth Tzedec?

Please Select OneYesNo

As we begin reopening, a limited number of services are open to those who register and commit to complying with the health and safety protocols outlined in Beth Tzedec's Reopening Manual.

There will be no walk-ups permitted.

Vaccination Policy

To protect the health and safety of our community, we are asking all those who participate in Beth Tzedec programs and services to verify their COVID-19 vaccination status.

No one 18 years or older will be permitted to enter the Beth Tzedec building or grounds without first verifying that they have been fully vaccinated against COVID-19 at least 14 days prior to entry with a vaccine approved by Health Canada.
Children and teens aged 12 to 17 (or an adult on behalf of such a person), must verify that they have received at least one vaccine for COVID-19 approved by Health Canada at least 14 days prior to entry.
Children under the age of 12 are not required to verify their vaccine status.

In the event that someone cannot provide the requisite verification that they have been fully vaccinated, they must provide evidence that they tested negative for COVID-19 in the 72-hour period before participating in Beth Tzedec programs or services. This does not apply to children under the age of 12.

* Is your child vaccinated as per the policy above?

Please Select OneYes, and I've already verified my vaccination status with Beth Tzedec (Also click here if your child is under 12 and therefore not vaccinated)Yes, but I still need to verify my vaccination status.No, but I will provide a negative COVID-19 test at the door.I am not interested in sharing my vaccination status or providing a COVID-19 test.

Excellent! You only need to verify your vaccination status once, so you're good to go.

If you are vaccinated as per Beth Tzedec's vaccination policy, please be sure to verify your vaccination here>> so that we can confirm your registration.

You will need to provide evidence that you've tested negative for COVID-19 in the 72-hour period before participating in a Beth Tzedec service or program. Please be prepared to present your negative test results at the entrance.

* Have you or anyone in your household experienced any flu-like or COVID-19 symptoms (including fever, cough, muscle aches, tiredness, difficulty breathing, sore throat, diarrhea, conjunctivitis or loss of smell or taste) in the last 14 days?

Please Select OneYesNo

* In the last 14 days, have you travelled outside of Canada AND been advised to quarantine per the federal quarantine requirements?

Please Select OneYesNo

* Have you been notified as a close contact of someone with COVID-19 or been told to stay home and self-isolate?

Please Select OneYesNo

Safe Physical Distancing

Everyone on the grounds of Beth Tzedec should follow physical distancing best practices as outlined in Beth Tzedec's Reopening Manual.

In compliance with City of Toronto By-Law 541-2020, all those within the building are required to bring and wear a mask or face covering that covers your nose, mouth and chin, without gapping.

In addition, all attendees of outdoor minyanim will be required to wear a mask while on the Beth Tzedec grounds.

Washroom Access

Please note that Beth Tzedec washrooms are currently undergoing modernization, which means there are a limited number of facilities available for use. In order to practice safe physical distancing, we ask that congregants restrict their use of the washrooms to emergencies only.

Fragrance-Free
Please remember that Beth Tzedec is a fragrance-free facility. We ask all members and guests to refrain from wearing fragrant lotions, soaps, perfumes and other personal-care items.

Attendees who do not follow the procedures described above will be asked to leave the grounds and may not be permitted to re-enter until further notice.

* Do you agree to adhere to the policies listed above?

Please Select OneYesNo

* Do you agree to wear a mask at all times while in the building and on the grounds of Beth Tzedec?

Please Select OneYesNoNo, I have an eligible exemption

Do you consent to having your image filmed and/or photographed for the Bulletin and social media?

Please Select OneYesNo

Unfortunately, you are not eligible to attend this program at Beth Tzedec Congregation. Thank you for your interest. We hope that you decide to join us online!

If you have further questions, please contact Sylvie Moscovitz at smoscovitz@beth-tzedec.org.

* Teen's First Name

* Teen's Last Name

* Teen's School Name

* Teen's Grade (2021-2022)

* Teen's Email

Teen's Phone