YESH at The Bubble - Form - Beth Tzedec Congregation

For Grades 5-8

Saturday, November 23 from 6:30 to 9:00 p.m.

Join YESH as we head to The Bubble for a fun-filled evening! Hang out with your friends, and make some new ones, as we bounce, game, and play!

This program is only for those in Grades 5 to 8. Feel free to bring friends!

If you have any questions about this program, please contact Hannah Wohl at hwohl@beth-tzedec.org.

Parent's First Name

Parent's Last Name

Parent's email

Parent's Mobile

Street Address

City

Postal Code

Total

Are you a member of Beth Tzedec?

Please Select OneYes, we are members of Beth TzedecNo, we are not members of Beth Tzedec

Child's First Name

Child's Last Name

Child's Preferred Name/Nickname and Pronouns

Does your child have any allergies or issues of which we should be aware?

Does your child have any accessibility or medical concerns?

We will be trading off between an “inflatable obstacle course” and playing in the arcade. If the course is a issue, please let me know and we can arrange for full-time in the arcade.

Full Name of Emergency Contact

Relation to Child

Emergency Contact's Phone

Emergency Contact's Email

Child's First Name

Child's Last Name

Child's Preferred Name/Nickname and Pronouns

Does your child have any allergies or issues of which we should be aware?

Does your child have any accessibility or medical concerns?

We will be trading off between an “inflatable obstacle course” and playing in the arcade. If the course is a issue, please let me know and we can arrange for full-time in the arcade.

Full Name of Emergency Contact

Relation to Child

Emergency Contact's Phone

Emergency Contact's Email

Child's First Name

Child's Last Name

Child's Preferred Name/Nickname and Pronouns

Does your child have any allergies or issues of which we should be aware?

Does your child have any accessibility or medical concerns?

We will be trading off between an “inflatable obstacle course” and playing in the arcade. If the course is a issue, please let me know and we can arrange for full-time in the arcade.

Full Name of Emergency Contact

Relation to Child

Emergency Contact's Phone

Emergency Contact's Email

Child's First Name

Child's Last Name

Child's Preferred Name/Nickname and Pronouns

Does your child have any allergies or issues of which we should be aware?

Does your child have any accessibility or medical concerns?

We will be trading off between an “inflatable obstacle course” and playing in the arcade. If the course is a issue, please let me know and we can arrange for full-time in the arcade.

Full Name of Emergency Contact

Relation to Child

Emergency Contact's Phone

Emergency Contact's Email