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LIBERTY Latke Lock-In

Friday, December 13, 2024 • 12 Kislev 5785

All Day for 1 DaysTemple Beth El

Spin a dreidel, eat some latkes, and debate the logic of the Chanukah Armadillo with LIBERTY! The lock-in begins at 6:00pm on Friday, December 13 and ends at 9:00am on Saturday, December 14. Dinner, snacks, and a light breakfast will be provided.

Teens should bring everything they need for an overnight, including a sleeping bag and pillow for sleeping in the social hall.

Register by Monday, December 9. After this date, please email Rachel Glazer to check if space is available.

Register

Children's Medical Information and Release

Your answers are held in complete confidence with the Assistant Director of Youth Education & Engagement. Being as honest and thorough as possible allows us to provide the best environment for your child(ren).

IMPORTANT: PARENTS/TEENS MUST GIVE ALL MEDICATIONS TO YOUTH DIRECTOR UPON ARRIVAL TO ADMINISTER.  Please list each medication with dosage, time of day medication needs to be taken and if there are any specific instructions. Write NA if your child will not need to take any medication during the lock-in.

PERMISSION FOR EMERGENCY MEDICAL TREATMENT

I/we will indemnify, save harmless and defend Temple Beth El, its officers, directors, agents, and employees, from all liability from loss, damage, or injury to persons or property in any manner arising out of or incident to the performance of this agreement including without limitation all consequential damages and/or attorney's fees.  in the event of a medical emergency and I/we cannot be reached, I/we hereby give permission to the physician selected by the Temple agent to hospitalize and secure proper treatment for my child(ren) as named herein.

In the event your child becomes ill or injured and we are unable to reach a parent, please provide two emergency contacts (one of these could be a second parent or guardian).  We will always attempt to reach parents first.

Register additional teens here.

Additional Participant Information

(Ex: Inhaler, anxiety medication, allergy medication, glucometer, etc.)
PERMISSION FOR EMERGENCY MEDICAL TREATMENT
Please provide any of the following information if it differs from your other child(ren): Name of child's physician, Physician's phone number, Insurance carrier, Insurance policy number, Name of insurance policy holder
Please provide any of the following information if it differs from your other child(ren): Emergency contact 1 name, relationship, & phone number; Emergency contact 2 name, relationship, & phone number
I/we will indemnify, save harmless and defend Temple Beth El, its officers, directors, agents, and employees, from all liability from loss, damage, or injury to persons or property in any manner arising out of or incident to the performance of this agreement including without limitation all consequential damages and/or attorney's fees.  in the event of a medical emergency and I/we cannot be reached, I/we hereby give permission to the physician selected by the Temple agent to hospitalize and secure proper treatment for my child(ren) as named herein.
Please provide any of the following information if it differs from your other child(ren): Emergency contact 1 name, relationship, & phone number; Emergency contact 2 name, relationship, & phone number
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Tue, December 10 2024 9 Kislev 5785