Information of parent submitting this form:

Information of teens to attend the Shabbat100 dinner:

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Agreement:

1. I agree that my child be in photos & videos and allow these to be published and shared digitally and in print.
2. To ensure complete safety during meetings, teens must always remain within the facility Bris Avrohom of Fair Lawn, unless instructed otherwise by an authorized JTeen coordinator.
3. A pleasant atmosphere, proper decorum, respect and friendship is integral at all JTeen meetings and events, and thus, any conduct or language that expresses disrespect for others will not be tolerated.
4. Teens are expected to behave in a mature manner and follow guidance from Jteen coordinators. Teens that show disrespect to others or behave in an unkind manner will be asked to leave.
5. Cell phone usage will not be allowed during certain times, we ask that teens respect this policy and put away their phones when asked.
6. Parents are responsible to pick up their teen at the advertised end time and take full responsibility for their teen after advertised end time.

Medical Release:
In case of an emergency, I request that Bris Avrohom of Fair Lawn contact me. If I am not within reach or if there is no time to contact me, I hereby consent to the administration of Bris Avrohom of Fair Lawn to take whatever medical measures they deem necessary for my child in the event of a medical emergency.

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