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KESTY Membership 2019-2020

Enroll here to become a member of KESTY, Temple Emanuel's Senior youth group!

Student Information

(example: science, dancing, human rights, nature, etc)


Guardian Information





Student Health Information

Please include all relevant allergies (seasonal, food, medicine, animals, etc) AS WELL AS reaction type (rash, anaphylaxis, sneezing)



(examples: current medications, asthma, easily stressed/anxious, frequent moments of sadness, lactose intolerant, bad joints from sports, etc)




(examples: advil, pepto bismol, cough drops, etc)

(any over the counter medications your child CAN NOT take)

Permissions

I hereby give permission for my child to participate in any/all KESTY activities for the 2019-2020 school year, including those that take place at the temple and off-site.

I hereby give permission for my child to be driven to and from Temple Emanuel by a staff member or parent volunteer when activities require going off-site.



I hereby acknowledge that a one-time, per-student addition of $36 will be applied to my Temple Emanuel account for KESTY/NFTY dues (N/A for 8th Graders who became Bar/Bat Mitzvah at TE - complimentary membership gift for becoming B'nai Mitzvah, however please complete the registration form).

Account Details

Enter your name and e-mail address for your confirmation:

Payment Information

I understand that the credit card payment amount is 2.5% higher; please include the 2.5% with my payment.
Total:   

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