Sunday School Ohr Natan Application Form
Welcome! Shaping Lives is a Sunday school program sponsored by Chazaq in Queens, NY. Currently, classes are being held each Sunday morning from 10:00-12:00 PM (EST) in Ohr Natan. This is a program where your child will learn about Judaism, different holidays, traditions and values. If you have any questions, you can reach out to the the Executive Director, Daniel Gadayev, at 917-705-1818 and the Director, Rabbi Nisson Gavrielov, at 646-271-2784.
Sign in to Google to save your progress. Learn more
Email *
Student's First and Last Name *
Date of Birth *
MM
/
DD
/
YYYY
Student's Gender *
Home Phone Number *
Home Address *
Mother's Name and Cell Phone Number *
Father's Name and Cell Phone Number *
Emergency Contact Information (Name, Relationship to Student, and Phone Number) *
School Attending *
Grade *
Does your child have any allergies? If yes, please specify. *
Did your child ever attend any programs affiliated with Judaism/Yeshiva *
If you answered yes to the previous question, please specify. *
Are you interested in Yeshiva placement for your children? *
Please type the name of the child for whom you are signing the consent form *
Start Date *
MM
/
DD
/
YYYY
I hereby consent to the participation in interviews, the use of quotes, and the taking of photographs, movies or video tapes of the Student named above. I also grant Chazaq Organization USA the right to edit, use, and reuse said products for non-profit purposes including use in print, on the internet, and all other forms of media. I also hereby release the New York City Department of Education and its agents and employees from all claims, demands, and liabilities whatsoever in connection with the above. By clicking, "Yes, I consent", it says that you agree to the terms. *
I hereby release Chazaq Organization USA of any medical, psychological, health, and injury related issues and/or damage, and expenses related to such incidents. By clicking, "Yes, I consent", it says that you agree to the terms. *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Chazaq. Report Abuse
Google Forms