Religious School Online Registration Form

Online Religious School Registration

  • Student's NameHebrew NameDOBAgeGenderGrade in school this fall 
  • NameAddressPhone number 
  • Liability

  • The undersigned hereby agrees to release Congregation Ner Tamid’s Religious School, and its officers, employees, agents and servants from liability for any injury or loss of any kind that might be suffered by the undersigned, the children of the undersigned, or any other minors who are under the control of the undersigned, by way of guardianship or otherwise, where such injury or loss arises during or in any way in connection with, any field trip conducted by Congregation Ner Tamid’s Religious School, or it’s agents, officers or employees. The term “field trip“ as used herein shall include any activity of any sort, including the transportation of children or adults which occurs on property owned or leased by Congregation Ner Tamid’s Religious School. This release shall operate to bar liability for injury or loss resulting from any cause whatsoever, except in so far as such injury or loss results from the gross negligence of any employee of Congregation Ner Tamid’s Religious School.
  • Date Format: MM slash DD slash YYYY
  • BY SUBMITTING THIS ONLINE FORM YOU ACKNOWLEDGE THAT YOU HAVE READ AND AGREE TO THE TERMS OF LIABILITY AND CONSENT.