TST Golem Workshop with Paper Midrash
We are so excited to be bringing Paper Midrash to our community! Our AISH/Temple Shir Tikva 8th-12th grade teens will have a session with Paper Midrash on Wednesday, April 28th from 6:00-8:00pm
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Participant First Name *
Participant Last Name *
Grade *
I am a: *
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Participant Phone # *
Participant Email *
Parent/Guardian(s) Name(s) *
Parent/Guardian 1 Phone # *
Parent/Guardian 1 Email *
Parent/Guardian 2 Phone # *
Parent/Guardian 2 Email *
Please confirm that you are attending the following and will pick up your supplies from a bin in front of TST before the event: *
Authorization *
I acknowledge that the participation of the individual listed on this form is voluntary and may result in personal injury or property damage. I understand and assume, on behalf of my child, all risks relating to participation in this event and agree that Temple Shir Tikva (TST) and Paper Midrash and its employees, directors, officers, agents, representatives, independent contractors, licensees and sponsors (collectively, the “Releasees”) shall not be responsible for any personal injury, property damage and/or other loss suffered as a result of my child's participation in any of the individual activities (an “Injury”). I understand by signing below on behalf of my child, and in consideration of being permitted to participate in the volunteer activities, I forever release each of the Releasees from any and all liability arising from an Injury. I empower the Temple Shir Tikva and Paper Midrash staff to act for me in accordance with their best judgement in case of emergency. I understand that photos may be taken at this event, and that they may appear on the TST websites, social media channels or in marketing materials.
Agreement- Zoom Video On *
Given the above Authorization, I agree to keep my video ON at all times out of safety precautions given the materials used in this activity.
Agreement- Materials Pick Up *
I agree to pick up the event materials from Temple Shir Tikva prior to the event (between April 14-26, during business hours). If I am unable to pick up the event materials, I will communicate with Jenna (jfriedman@shirtikva.org) to figure out a solution.
Participant Signature *
Parent/Guardian Signature(s) *
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