Adat Ari El Covid Health Screening Form

* 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.

Thu, October 16 2025
24 Tishrei 5786

Upcoming Events

All Events

Monday ,
OctOctober 20 , 2025

BM Year Out Meeting FY 26-27 Cohort 2
Monday, Oct 20th 7:30p

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Wednesday ,
OctOctober 22 , 2025

Sisterhood Membership Event
Wednesday, Oct 22nd 7:00p to 9:00p

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Saturday ,
OctOctober 25 , 2025

Bar Mitzvah: Jesse Schuldenfrei
Shabbat, Oct 25th 4:00p to 7:00p

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Sunday ,
OctOctober 26 , 2025

Mah Jongg Playday
Sunday, Oct 26th 10:00a to 3:00p
Hosted by Sisterhood
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Wednesday ,
OctOctober 29 , 2025

ECC Parent Ed Night
Wednesday, Oct 29th 7:30p

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Wednesday ,
NovNovember 5 , 2025

ECC PA Meeting
Wednesday, Nov 5th 7:00p

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Saturday ,
NovNovember 8 , 2025

Torah Time
Shabbat, Nov 8th 11:00a to 12:00p
TK–2nd graders and their families are invited to explore, wonder, create, and imagine together through the weekly parsha (Torah portion). Join us for a joyful hour of engaging storytime, hands-on activities, imaginative play, and a little nosh. Come build community, connect through Torah, and make meaningful memories together.
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Saturday ,
NovNovember 8 , 2025

Beit Midrash - Two T's FY 25-26 Cohort 3
Shabbat, Nov 8th 12:30p

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Saturday ,
NovNovember 8 , 2025

ECC Parent Social
Motzei Shabbat, Nov 8th 8:00p

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Sunday ,
NovNovember 9 , 2025

ECC Open House
Sunday, Nov 9th 9:30a to 11:30a

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Thu, October 16 2025 24 Tishrei 5786

Find Out More

Contact Us

12020 Burbank Blvd.
Valley Village, CA 91607

Main Number: 818.766.9426

| Staff Directory
| Email Us!
| Directions

Upcoming Events

All Events

Monday ,
OctOctober 20 , 2025

BM Year Out Meeting FY 26-27 Cohort 2
Monday, Oct 20th 7:30p

MORE INFO
Wednesday ,
OctOctober 22 , 2025

Sisterhood Membership Event
Wednesday, Oct 22nd 7:00p to 9:00p

MORE INFO
Saturday ,
OctOctober 25 , 2025

Bar Mitzvah: Jesse Schuldenfrei
Shabbat, Oct 25th 4:00p to 7:00p

MORE INFO

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Connect With Us

Becoming A Member

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

Contact Us

12020 Burbank Blvd.
Valley Village, CA 91607

Main Number: 818.766.9426

| Staff Directory
| Email Us!
| Directions

Upcoming Events

Calendar

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

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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

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There are no upcoming events at this time.

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