Chanukah Family Party

Chanukah Family Party!

Sunday, December 14

1pm-2:30pm

Bernikow JCC

$8 per child for Members

$12 per child for Non-Members

Free for Adults and children under 2

JOIN US FOR A FUN FAMILY EVENT WITH CHANUKAH GAMES, CRAFTS AND HOLIDAY SNACKS!

Mainstage Theater Company performing a Chanukah Game Show which includes...

TRIVIA! Learn fun facts about the Chanukah story and test your knowledge with fun holiday trivia!

Physical Challenges: Participata in a Hot Latke Toss and Gelt Hunt!

Act Out Games: Join Hanukkah Harry as he unwraps mystery items based on clues!

Parent Name*

First NameLast Name

Home Phone Number*

Please enter a valid phone number.

Cell / Work Phone Number

Please enter a valid phone number.

Email*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Does your child have any health concerns, special considerations, and/or allergies?*

Child Grade*

Child's Names and Ages*

Child Date of Birth

Date

Emergency Contact Name

First NameLast Name

Relation to Child

Emergency Contact Phone Number

Please enter a valid phone number.

I hereby authorize emergency medical treatment of my child in the event that I can not be reached. I hereby grant permission to the Jewish Community Center of Staten Island to use photographs and/or video of me in publications, news releases, online, and in other communications related to the mission of the JCC.*

Is your child currently enrolled in the JCC’s Early Childhood Education or Camp programs?*

YesNo

PHOTO POLICY:

When you enter a JCC of Staten Island event or program, you enter an area where photography, audio, and video recording may occur.

By entering the event premises, you consent to interview(s), photography, audio recording, video recording, and its/their release, publication, exhibition, or reproduction to be used for news, webcasts, promotional purposes, telecasts, advertising, inclusion on websites, social media, or any other purpose by the JCC and its affiliates and representatives. Images, photos, and/or videos may be used to promote similar JCC events in the future, highlight the event, and exhibit the capabilities of the JCC.

You release the JCC, its officers and employees, and each and all persons involved from any liability connected with the taking, recording, digitizing, or publication and use of interviews, photographs, computer images, video, and/or sound recordings. By entering the event premises, you waive all rights you may have to any claims for payment or royalties in connection with any use, exhibition, streaming, web casting, televising, or other publication of these materials, regardless of the purpose or sponsoring of such use, exhibiting, broadcasting, web casting, or other publication irrespective of whether a fee for admission or sponsorship is charged. You also waive any right to inspect or approve any photo, video, or audio recording taken by the JCC or the person or entity designated to do so by the JCC.

You have been fully informed of your consent, waiver of liability, and release before entering the event.

The JCC of Staten Island is thrilled to partner with PJ Library to offer the gift of free Jewish storybooks to families raising Jewish children. Each child, from newborn to 12 years old, is eligible to receive their own age-appropriate Jewish-themed book in the mail every month. Is this program a fit for your family?

Yes! I confirm that my family includes Jewish member(s) and is eligible for PJ Library. Please sign up my child(ren) for free Jewish books!We already receive PJ Library for one child, but our other child(ren) is not yet signed up. Please sign them up for their own age-appropriate books.Every child in our home already receives their own PJ Library book.My child(ren) has aged out of PJ Library.My family does not include Jewish members. I will explore PJ Library's free online resources instead.

Parent 1 first and last name

First NameLast Name

Parent 2 first and last name

First NameLast Name

Mailing address (Where PJ Library books will be mailed)

Street Address

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CityState / Province

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Language

Email 1

example@example.com

Email 2

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Phone Number

Please enter a valid phone number.

Child first and last name (For PJ Library book envelope)

First NameLast Name

Child date of birth (For accurate PJ Library book age category)

How did you hear about PJ Library?

Events*

12/14 Chanukah Family Party

$12.00 Quantity

Total

$0.00

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