NFTY NE Conclavette 2022

NFTY-NE Conclavette at Temple Sinai of Sharon
25 Canton Street, Sharon, MA 02067
December 16-18, 2022
(6 PM Friday, Dec 16 - Noon Sunday, Dec 18)

Cost: $120 per student (includes Home Hospitality, All Meals, Programming and Snacks)

Please be sure to read the NFTY-NE B'rit Keilah Code of Conduct before registering here: https://nfty.org/wp-content/uploads/2022/10/NFTY-Brit.pdf

* Parent First Name

* Parent Last Name

* Parent Email

* Parent Preferred Phone Number

* Emergency Contact Name

* Emergency Contact Cell Phone Number

* I acknowledge receipt and agree to adhere to the NFTY B'rit Keilah Code of Conduct.

I acknowledge receipt and agree to adhere to the NFTY B'rit Keilah Code of Conduct.All participants on this form must agree to this Code of Conduct to attend.

* By checking the box, we acknowledge and consent to the below Idemnification statement.

By checking the box, we acknowledge and consent to the below Idemnification statement. Idemnification: Except with the respect to the sole negligence of the Temple Sinai, Sharon, MA and its employees, the undersigned Participant's Parent/Guardian hereby release, discharge, and hold harmless Temple Sinai Sharon, MA and their employees from any and all claims, lawsuits, or other legal causes of action, which relate to the undersigned Participant's participation in a Temple Sinai Sharon, MA Program, and the Participant's travel to and from Temple Sinai Sharon, MA, such events and programs, and related activities.

* Number of Teens Registering = $120 each

Additional Donation

Your additional donation will help those teens in need of scholarship for this program. Thank you for your generosity.

* Teen #1 Full Name

* Teen #1 Grade

* Teen #1 Synagogue or Temple Youth Group

* Teen #1 Allergies, Medications or other health info we should know about

If not applicable, please enter None or N/A.

Teen #2 Full Name

Teen #2 Grade

Teen #2 Synagogue or Temple Youth Group

Teen #2 Allergies, Medications or other health info we should know about

If not applicable, please enter None or N/A.

Teen #3 Full Name

Teen #3 Grade

Teen #3 Synagogue or Temple Youth Group

Teen #3 Allergies, Medications or other health info we should know about

If not applicable, please enter None or N/A.

Total Due:

Don't forget to hit SUBMIT to complete your registration. You will be brought to a payment page.

Temple members logged into their account will have the option to bill their account or pay online at submission.

Tue, November 29 2022
5 Kislev 5783

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Tue, November 29 2022 5 Kislev 5783