By signing below, I/we hereby agree to the following in its entirety.
Parental Consent to Emergency Care for a Minor
I/we hereby give permission for the child registered in this application to be given emergency care as authorized or directed by any adult person acting on behalf of Temple Beth Israel and its Torah School. Such care may include transportation by ambulance orother emergency vehicle, medical or sugical diagnosis or treatment, or x-ray examination as deemed advisable by a physician or surgeon licensed under the provisions of the Medical Practice Act. X-ray examination, anesthetic, dental or sugical diagnosis or treatment or hospital care is to be rendered to said children by a dentist licensed under the provisions of the Dental Practice Act. I/we understand that any cost for such services are our responsibility and I/we agree to pay the cost of all such medical or dental services. It is understood that if time and circumstances reasonably permit, Temple Beth Israel and its Torah School personnel will try but not be required to communicate with me or my child's personal physician prior to such treatment.
Parental Trip Waiver/Release
I/we give permission for my/our child named above to participate in all field trips sponsored by Temple Beth Israel Torah School and will not hold Temple Beth Israel responsible for any accident or injury which may occur on these trips. In addition, I/we relieve any and all liability to any driver and/or drivers who chauffeur such events. This agreement will remain in effect as long as my/our child(ren) is/are enrolled in the Temple Beth Israel Torah School.
Community Covenant
I/we hereby agree as members of Temple Beth Israel to abide by all TBI Rules and to honor all financial commitments, including dues payments, that I/we make to Temple Beth Israel of Highland Park and Eagle Rock.