Sign In
Forgot Password
Powered By
ShulCloud
Log in
Log in
TEMPLE SHIR TIKVA
Live Stream
Calendar
Giving
Livestream
Calendar
Giving
Live Stream
Calendar
Giving
RAC L'Taken Washington D.C. Trip 5784
Friday, February 9, 2024
•
30 Sh'vat 5784
12:00 AM - 12:00 AM 3 days after
Register
Participant Name
Participant E-mail
Participant Cell Phone #
Participant Gender and Pronouns
Emergency Contact #1 - Name
Emergency Contact #1- Email
Emergency Contact #1 - Cell Phone
Emergency Contact #2 - Name
Emergency Contact #2- Email
Emergency Contact #2- Cell Phone
Over-the-Counter Medication Release
Yes
Please contact me first
[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) *
Participant Medication Information
Does the trip participant take any regular medication? If yes, please describe the medication, dosage amount, and time of day it should be taken.
Emergency Medical Care Release
Yes
[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? *
Dietary Needs
Gluten Free
Dairy Free
Egg Free
Tree Nut Allergy
Peanut Allergy
Sesame Allergy
Stone Fruit Allergy
Other:
Does the participant have any dietary restrictions or food allergies?
Additional Dietary Information
Please use this space to provide any additional information about the participant's allergies or dietary needs, as is needed (specifics, severity, etc.)
I have/will filled out my student's CampMinder form (linked here) for their official registration with L'Taken
I have submitted the CampMinder form
I will fill out the CampMinder form after submitting this form
https://urjrac.campintouch.com/ui/forms/application/camper/App
Additional Information
Is there anything else we should know about this participant?
Share
Print
Save To My Calendar
Email
Password
Forgot Your Password?
Sun, May 11 2025
13 Iyar 5785
Today's Calendar
Mother's Day
Upcoming Programs & Events
May
12
Mindful Movement
Monday, May 12 8:45am
May
12
Holding Space in Tense Times
Monday, May 12 6:30pm
May
12
A Mussar Journey Through the Omer
Monday, May 12 7:15pm
May
13
Mussar 3
Tuesday, May 13 7:15pm
May
14
Wednesday Morning Study
Wednesday, May 14 10:30am
This week's Torah portion is
Parashat Emor
Shabbat, May 17
Lag BaOmer
Friday, May 16
View Calendar
Join Our Mailing List
Sun, May 11 2025 13 Iyar 5785