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Hama'agal Registration
Friendship Circle For Adults
Adults 20's and 30's join our circle for exciting travel and recreational experiences.
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Upcoming Trip Sunday, Dec 8- Lunch at Wok Tov and Trip to Dave and Busters
Meeting at Wok Tov 594 Central Ave. 12:30 PM
Returning to Chabad approximately 4:00 PM
Cost: $25 a person (includes, lunch, transportation, and games)
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Allergies (food, medication, Epipen) provide instructions
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Will the participant need to take any medication during the event (12:30-4? If yes please provide more info.
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Do you allow the participants photo to be used for PR, social media etc.
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The health history is correct and accurately reflect the health status of the participant. The person described has permission to participate in all activities, except as noted above. If I can not be reached in case of an emergency, i give permission to the health care provider to hospitalize, secure proper treatment for this individual. Digital signature of parent/ guardian
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