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Home
ESY Events
Parents' Night Out
SOFASH!!
Dr. Seuss Purim
OUR Community
MLK Silent March
Jewish Disability Awareness & Inclusion Month
PRIDE
Native American Heritage Month
Pictures
Links
Membership Application 2019-2020
There is a downloadable PDF version at the bottom of the page
Emanuel Synagogue Youth Membership Form
*
Indicates required field
Parent #1 Name
*
First
Last
Parent 1 Primary Phone #
*
Parent 1 Primary Email
*
Social Media Preference
*
Parent #2 Name
*
First
Last
Parent 2 Primary Phone #
*
Parent 2 Primary Email
*
Address - where you want mailings sent
*
Line 1
Line 2
City
State
Zip Code
Country
Child #1 Name
*
First
Last
Child #1 Email (please provide if they have their own)
*
If more than one email, separate by a comma
DOB, Grade, School District
*
Child #1 Phone Number (please provide if they have their own)
*
Child #2 Name
*
First
Last
Child #2 Email (please provide if they have their own)
*
DOB, Grade, School District
*
Child #2 Phone Number (please provide if they have their own)
*
Child #3 Name
*
First
Last
Child #3 Phone Number (please provide if they have their own)
*
ESY 2019-2020 Code of Conduct
Click Here to Read
Parent eSignature (type full name) - Code of Conduct
*
ESY Transportation Release
Many times we drive from place to place during a local event. We have advisors, parents, and students as drivers. Parents need to give permission for their children to be driven by other students or adults, if you so desire. These forms will be shared only with the adult leadership so that only people whom you deem appropriate may drive your child.
*
I give permission for my child(ren) to be transported during local events by parents or advisors.
I give permission for my child(ren) to be transported during local events by other student drivers.
I do not wish for my child(ren) to be transported during local events by other student drivers.
Parent eSignature (type full name) - Transportation
*
Event Fees Agreement
Each youth event may have associated fees, including but not limited to, admission, meals, transportation, and chaperone expenses. I understand that I am responsible for my child(ren)’s fee.
Parent eSignature (type full name) - Fees
*
DOB, Grade, School District
*
Child #3 Phone Number (please provide if they have their own)
*
I read the Code of Conduct and agree to abide by it.
*
Click Here
I agree
ESY Photo Release
At many events pictures and videos are taken. I understand these images may be used for Emanuel Synagogue, Sooner USY, and affiliated individuals and groups for scrapbook, promotional material, as well as other official purposes, and they may be uploaded to official and unofficial websites. I give Emanuel Synagogue, its membership, and affiliated organizations permission to use images of my family taken at sanctioned events.
Parent eSignature (type full name) - Photo
*
Submit
esy_application_2018-2019.pdf
File Size:
178 kb
File Type:
pdf
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