Street Address Line 2
State / Province
Child's Jewish name (if they have)
School year started in September 2022
Does your child have any Special Educational Needs or receive extra support at school?
Does your child have any allergies?
Anything else you would like us to know?
I give my consent for JUDA Staff to administer first aid and if necessary take my child to the hospital in the event of an accident or emergency. And to take and display photos of my child for updating parents and/or promotional purposes.
Should be Empty:
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