Adat Ari El Covid Health Screening Form

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

* First Name

* Last Name

* Email Address

* Mobile Number

* Reason visiting campus

* Do you live in the same household with, or have you had close contact with someone who in the past 14 days was diagnosed with COVID-19 or had a test confirming they have the virus?

* Within the last 10 days have you been diagnosed with COVID-19 or had a test confirming you have the virus?

* Have you had any one or more of these symptoms today or within the past 24 hours, which is new or not explained by a pre-existing condition?Fever, Chills, or Repeated Shaking/Shivering • Cough • Sore Throat • Shortness of Breath or Difficulty Breathing • Feeling Unusually Weak or Fatigued • Loss of Taste or Smell • MusclePain • Headache • Runny or Congested Nose • Diarrhea

* Have you traveled within the past 14 days?

If yes, where?

* By checking 'Yes' below I attest that my answers above are accurate to the best of my knowledge.

Yes

* By checking 'Yes' below I affirm I will notify Adat Ari El if there are any changes to my answers that occur after I complete this form, and before I arrive to the Adat Ari El campus. I will reschedule and not come to campus if there are any changes.

Yes

* On behalf of yourself and/or your children, you hereby release, covenant not to sue, discharge, and hold harmless Adat Ari El its employees, agents, and representatives, of and from all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating to your participation in our programs, services, or activities. You understand and agree that this release includes any claims based on the actions, omissions, or negligence of this organization, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any hosted or programmed event by this organization.

On behalf of yourself and/or your children, you hereby release, covenant not to sue, discharge, and hold harmless Adat Ari El its employees, agents, and representatives, of and from all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating to your participation in our programs, services, or activities. You understand and agree that this release includes any claims based on the actions, omissions, or negligence of this organization, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any hosted or programmed event by this organization.

Wed, December 7 2022
13 Kislev 5783

All Events

Friday ,
DecDecember 9 , 2022

Family Fridays and Kitah Gimmel Shabbat
Friday, Dec 9th 5:45p to 8:00p

MORE INFO
Friday ,
DecDecember 9 , 2022

Hannukah Sweater Teen Tisch
Friday, Dec 9th 7:00p to 9:00p

MORE INFO
Sunday ,
DecDecember 11 , 2022

Advanced Camp Leadership Session 2
Sunday, Dec 11th 10:00a to 12:30p

MORE INFO
Sunday ,
DecDecember 11 , 2022

LA Zimriyah Chorale
Sunday, Dec 11th 3:00p to 5:00p

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Tuesday ,
DecDecember 13 , 2022

Hanukkah Glow Up Family Event at Adat Ari El
Tuesday, Dec 13th 6:00p to 8:30p

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Wednesday ,
DecDecember 14 , 2022

Renovation Town Hall
Wednesday, Dec 14th 8:00p to 9:00p

Register Now

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Thursday ,
DecDecember 15 , 2022

Men Of Adat Monthly Gathering
Thursday, Dec 15th 7:30p to 10:00p

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Friday ,
DecDecember 16 , 2022

N'ranena
Friday, Dec 16th 6:00p to 7:00p

MORE INFO
Saturday ,
DecDecember 17 , 2022

Secrets of the Rabbis w/ Rabbi Alexander
Shabbat, Dec 17th 1:00p to 2:00p

MORE INFO
Tuesday ,
DecDecember 20 , 2022

JLC CLOSED - WINTER BREAK
Tuesday, Dec 20th (All day)

MORE INFO

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Wed, December 7 2022 13 Kislev 5783

Becoming a Member

Click Here to join Adat Ari El and enjoy a full range of social, spiritual, and educational activities.

Find Out More

Contact Us

12020 Burbank Blvd.
Valley Village, CA 91607

Main Number: 818.766.9426

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| Email Us!
| Directions

Upcoming Events

All Events

Friday ,
DecDecember 9 , 2022

Family Fridays and Kitah Gimmel Shabbat
Friday, Dec 9th 5:45p to 8:00p

MORE INFO
Friday ,
DecDecember 9 , 2022

Hannukah Sweater Teen Tisch
Friday, Dec 9th 7:00p to 9:00p

MORE INFO
Sunday ,
DecDecember 11 , 2022

Advanced Camp Leadership Session 2
Sunday, Dec 11th 10:00a to 12:30p

MORE INFO

View Calendar

Connect With Us

Becoming A Member Of Adat Ari El

Members of Adat Ari El enjoy a full range of social, spiritual and educational activities.

Find Out More

Contact Us

12020 Burbank Blvd.
Valley Village, CA 91607
818.766.9426
info@adatariel.org

(818) 766-9426

Directions

Connect With Us

Visit Us

Are you interested in learning more about ADAT and visiting our state-of-the-art campus? Click below and our Admission Office will contact you.

Inquire Now

Contact Us

12020 Burbank Blvd.
Valley Village, CA 91607
818.766.4992
shalom@aaeds.org

Upcoming Events

There are no upcoming events at this time.

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Mission

Through Jewish vision and values, Adat Ari El Labowe Family Day School raises up students who KNOW themselves, SERVE others, and ACT to improve the world.

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Becoming a Member

Members of Adat Congegration enjoy a full range of social, spiritual and educational activities.

Find Out More

Contact Us

12020 Burbank Blvd.
Valley Village, CA 91607
818.766.9426
info@adatariel.org

(818) 766-9426

Directions

There are no upcoming events at this time.

View Calendar