Building Blocks, Come Grow with Us

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Sunday, October 3, 2021 • 27 Tishrei 5782

10:00 AM - 12:00 PMCongregation Or VeShalom

Building Blocks, Come Grow with Us is our new monthly Sunday School program at Congregation Or VeShalom for children ages 3 - 7 from 10:00 am - noon. Building Blocks will meet one Sunday per month (October - June) and includes optional parallel parent learning from 10:00 - 11:00 am.

Register

We are exciting to offer Building Blocks, our new monthly Sunday School program at Congregation Or VeShalom for children ages 3 - 7. Program dates are:

October 3, 2021
November 14, 2021
December 5, 2021
January 9, 2022
February 6, 2022
March 6, 2022
April 3, 2022
May 15, 2022
June 5, 2022

FAMILY INFORMATION

* Parent/Guardian (1) Name

Parent/Guardian (2) Name

* Parent/Guardian (1) Best Phone Number

Parent/Guardian (2) Best Phone Number

* Parent/Guardian (1) Email

Parent/Guardian (2) Email

Parent/Guardian (1) Street

Parent/Guardian (2) Street (If Different)

Parent/Guardian (1) City

Parent/Guardian (2) City (If Different)

Parent/Guardian (1) State

Parent/Guardian (2) State (If Different)

Parent/Guardian (1) Zip

Parent/Guardian (2) Zip (If Different)

Emergency Contact Name

Emergency Contact Cell Phone

STUDENT INFORMATION

Student (1) First Name

Student (2) First Name

Student (3) First Name

Student (1) Last Name

Student (2) Last Name

Student (3) Last Name

Student (1) Hebrew Name

Student (2) Hebrew Name

Student (3) Hebrew Name

Student (1) Birthday

Student (2) Birthday

Student (3) Birthday

School Grade (as of 9/1/21) - Student (1)

School Grade (as of 9/1/21) - Student (2)

School Grade (as of 9/1/21) - Student (3)

Is there anything you'd like to share about student (1)?

Is there anything you'd like to share about student (2)?

Is there anything you'd like to share about student (3)?

ALLERGY INFORMATION

Does Student (1) have any allergies?

Yes. My child has allergies.No. My child has no allergies.

Does Student (2) have any allergies?

Yes. My child has allergies.No. My child has no allergies.

Does Student (3) have any allergies?

Yes. My child has allergies.No. My child has no allergies.

List all allergies student (1):

List all allergies student (2):

List all allergies student (3):

FAMILY MEDICAL INFORMATION

* Electronic Signature for Medical Release. Please enter your full name in the box below.

Doctor's Name:

Doctor's Phone Number:

Health Insurance Company

Policy ID Number

Group Number

Medical Release

I hereby authorize the Rabbi or Executive Director, or person designated by the Rabbi or Director, to obtain emergency medical care for my child(ren) in the event such care is indicated. I give my permission for my child(ren) to receive emergency medical care by any nurse, doctor, paramedic or member of a medical staff licensed by the State of Georgia. I understand that every effort will be made to notify a parent/guardian prior to treatment.

I certify that my child(ren) is (are) in good physical health. They have my permission to participate in all activities that are part of the regular religious school program.

PUBLICITY RELEASE

From time to time your child(ren)’s photo may be taken in our classrooms or special events. We use these photos in synagogue eblasts, on printed materials or in other advertisements for OVS.

Yes, I give my permission for my child(ren)'s photo to be used.No, I do not give permission for my child(ren)'s photo to be used.

By clicking yes, you are agreeing that you child(ren)'s photograph may be used in synagogue eblasts, on printed materials or in other advertising for OVS or Building Blocks.

Number of Children - OVS Member

Cost of Building Blocks is $100 per child for OVS members.

Number of Children - Non OVS Member

Cost of Building Blocks is $136 per child for non OVS members.

Total Due

Please click submit to advance to the payment page.

If you require financial assistance, please contact Adam Kofinas, Executive Director, at 404-633-1737.

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Tue, September 28 2021
22 Tishrei 5782

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Upcoming Programs

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Sunday ,
OctOctober 3 , 2021

Building Blocks, Come Grow with Us
Sunday, Oct 3rd 10:00a to 12:00p
Building Blocks, Come Grow with Us is our new monthly Sunday School program at Congregation Or VeShalom for children ages 3 - 7 from 10:00 am - noon. Building Blocks will meet one Sunday per month (October - June) and includes optional parallel parent learning from 10:00 - 11:00 am.
Register Now

MORE INFO
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OctOctober 7 , 2021

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MORE INFO
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Register Now

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