Bnei Akiva Houston Registration Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Welcome back to Snif! If you/ your child would like to attend Bnei Akiva this coming Shabbat, please fill out this form. The form must be filled out by Friday!
Snif this week will take place in from 5:00PM- 6:00PM for grades 1st- 12th

Registration for Snif automatically registers your children for playground use on Shabbat morning (11:00AM- 12:30PM) and on Shabbat afternoon (during and after Snif)

Email *

Date: *

YYYY

Name: *

Name and grade of child attending snif: *

Name and grade of child attending snif:

Do you have any additional children who are not attending Snif who may be using the playground during/ after Snif? If so, please list their names here:

Have you and/ or your children coming to Snif experienced any of the following symptoms over the last 14 days: Temperature over 100F, Sore Throat, Cough/ Shortness of breath or difficulty breathing (not allergies), Chills- repeated shaking with chills, Loss of taste or smell, Diarrhea and fever, Known close contact with a person who is lab confirmed to have Covid-19 or in contact with someone being tested for Covid-19 within 10 days from the last exposure *

Yes

Have you and/ or your child been in contact with a person who has a confirmed case of Covid-19? *

Yes

I agree to observe these rules throughout my time at snif: Everyone attending Bnei Akiva Snif must wear a mask, Social Distancing guidlines must be followed, Handwashing/ sanitizing upon entrance to the UOS premises *

Yes

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of Religious Zionist Youth Movement - Bnei Akiva of the US and Canada . Report Abuse

Forms