Summersignup | Yeshiva of Great Nec

Summer Program Home

GREAT NECK SUMMER

EVENING PROGRAM

Summer Program

Signup

Summer Program Signup Form

Thank you for your interest in the Yeshiva of Great Neck summer program.

To sign your son up below, please fill in the form, and then you will be directed to payment.

Son's First Name

Son's Last Name

School my son was in this past year

Father's Full Name

Father's Phone

Mother's Full name

Mother's Phone

Street Address

City

State

ZIP

If ח"ו there is an emergency, who can we call, besides for the parents?

Emergency Conact Name

Emergency Contact Phone

Relation to child

I would like to sign my son up for...

(Select one)

Poolside BBQ 8/3 - $20

By signing this form below, I am acknowledging that I am the legal guardian of the child, whose name is filled out above on this form, and am giving said child permission to attend the event(s) I have selected above, arranged and supervised by Rabbis Michael Katz and Moshe Strassfeld, and hereby absolve them and all associated parties of all liability for any damages or injury to property or person.

Your Signature

Print Name

Thank you for registering your son!

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