Sinai Synagogue Leeds

This form registers your child/ren for the Year 6 Sinai Religion School Programming for 5784 (September 2023 – July 2024].

Please provide all the information so that we can best serve you and your child.

Name of Child

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Age

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Date of Birth

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School

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School Year (Completed)

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Add a Sibling

Yes

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Name of Child 2

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Age

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Date of Birth

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School

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School Year (Completed)

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Add a Sibling

Yes

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Name of Child 3

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Age

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Date of Birth

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School

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School Year (Completed)

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Address*

Please enter your address

Email Address*

Please enter your email address

Telephone*

Please enter your telephone number

Health and Wellbeing

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Likely person to collect

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Once the session has finished, it is the parent's responsibility to ensure their child/ren are supervised whilst in the building.

Dietary Requirements

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Consent for emergency medical treatment. In the event of an emergency that requires medical treatment, every effort will be made to contact you. If we are unable to make contact, do you give consent for emergency medical treatment to be given to your child? *

Yes

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Emergency Contact Details

Emergency Contact*

Please enter the name of the adult accompanying the child

Emergency Contact Alternate*

Please enter the name of the adult accompanying the child

Relationship*

Please enter the relationship to the child

Relationship*

Please enter the relationship to the child

Telephone*

Please enter your telephone number

Telephone*

Please enter your telephone number

Payment

We know that times are difficult for many people and would never wish costs to be a barrier to attendance. Please speak in confidence to Becky Teiger, Heidi Sizer or Bernard Nelson (Treasurer) if this affects you ori f you wish to pay in installments.

Attendance

Your child/ren will gain most from the programme if they attend regularly and arrive in good time. Children who arrive late can miss important introductory information about planned activities and the social aspect of having time to say hi to their friends and have a catch up before settling into the session. Please do your best to ensure your child attends regularly and arrives before the start time to enable them to participate fully.

Data protection

All information is stored safely and in accordance with GDPR.

There are times we take photographs of the children and families enjoying the activities at Sinai, (including Religion School and Kivunim). These are used on the Sinai Facebook page and sometimes on the Leeds Jewish community page on Facebook, as well as on the Sinai Synagogue website and around the Synagogue, (posters). Names are not used with photographs. Please advise us in writing if you are NOT happy for photos to be taken.

Yr 6 Kivunim Hebrew

£175
This works out at less than £6 per session

Number of Children

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Total Cost

£0.00

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