Permission for Emergency Medical Treatment:
As the parent(s) or legal guardian(s) I/we authorize any adult acting on behalf of the Chabad Hebrew School of Greater Gainesville & Manassas to hospitalize or secure treatment for my child. I further agree to pay for all charges for that care and/or treatment. It is understood that, if time and circumstances reasonably permit, Chabad Hebrew School will try to communicate with me prior to such treatment.
I hereby give permission for my child to participate in all school activities, join in class and school trips on and beyond school properties and allow my child to be photographed while participating in Gan Israel Hebrew School activities and that these pictures may be used for marketing purposes.
Please note all fields in this form are required, please write "NA" or "000" in fields that are not applicable.