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TEMPLE SHIR TIKVA

RAC L'Taken Washington D.C. Trip 5783

Friday, December 9, 2022 15 Kislev 5783

All Day for 3 Days

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[FOR LEGAL GUARDIANS] Do you give Jenna (and/or other Trip Chaperones) permission to provide your child with over-the-counter medications? (E.g. Advil, Tylenol) *
Does the trip participant take any regular medication? If yes, please describe the medication, dosage amount, and time of day it should be taken.
[FOR LEGAL GUARDIANS] Do you give Jenna (and/or other Trip Chaperones) permission to seek medical care for the participant in case of an emergency? *
Does the participant have any dietary restrictions or food allergies? 
Please use this space to provide any additional information about the participant's allergies or dietary needs, as is needed (specifics, severity, etc.) 
Is there anything else we should know about this participant? 
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Wed, December 7 2022 13 Kislev 5783