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A Historic Progressive Conservative Congregation in Valley Village, CA
A Dynamic Jewish Early Childhood Center Serving Children Ages 6 Weeks to Entering Pre-K
A Jewish Day School serving students in Grades TK-6
A Historic Progressive Conservative Congregation in Valley Village, CA

USY/Kadima Membership Info and Dues 2019-20



If your child is enrolled in any of the following programs, you do NOT need to fill out this form: JLC, Confirmation/Seminar, Pre-Confirmation Seminar, and Adat Ari El Day School. Your tuition includes your USY/Kadima Dues.
 

This contact cannot be a parent/guardian

Membership Selection

I/We understand that Adat Ari El will enforce a behavior management policy. I/we understand that serious infractions such as, but not limited to, stealing, fighting, possession of contraband on campus (weapons, drugs or alcohol), willful destruction of school property, and/or bullying (including written, verbal and/or sexual harassment) may result in an immediate removal from programs and may result in discipline up to and including suspension from future programs and dismissal with no refund of payment.

I/We have read, understand and agree to be bound by this enrollment agreement for myself/ourselves and on behalf of my/our child. The participant is hereby given our full consent and permission to participate in all manner of activities offered by Kadima and USY to its participants. Family agrees that neither Kadima/USY nor Adat Ari El shall be liable for any accident or injury, which the participant may sustain in connection with any such activity. Family agrees to fully and forever release and hold harmless Adat Ari El and Kadima/USY (including their agents, employees, and officers) from any claims, damages, and/or liabilities arising from any accident or injury to participant or caused by participant. This includes expenses and costs for medical care and services that a participant may receive due to any injury or illness suffered while attending or participating in a Kadima or USY event. 

 
Please provide your electronic signature by typing your name in the space provided above.
Family agrees that Adat Ari El is authorized to use participant's photographs, images, recordings, videos, likeness, achievements, and artwork in promotional publications, including the synagogue's website, for community outreach and in print material. 
Please provide your electronic signature by typing your name in the space provided above.
Tue, January 28 2020 2 Shevat 5780