LMS Youth Department Shabbat Programming for Children Sign-Up
LMS is pleased to offer Shabbat programing for its members and their guests. Please fill out the form below to sign your children up for groups in 2018-19. If you have any questions, please contact Mrs. Faigy Prupas, LMS Youth Director, at fyprupas@gmail.com.
LMS Member Name(s) *
Your answer
Email Address
Your answer
Minyan that you typically attend
It is the expectation that a guardian is in the shul at all times that a child is in Shabbat groups.
Please select which minyan(im) you typically attend *
Required
Children
Please list your child(ren) below.
Child 1 Name *
Your answer
Child 1 Grade as of Sept 2018 *
Your answer
Child 1 School *
Your answer
Child 2 Name
Your answer
Child 2 Grade as of Sept 2018
Your answer
Child 2 School
Your answer
Child 3 Name
Your answer
Child 3 Grade as of Sept 2018
Your answer
Child 3 School
Your answer
Child 4 Name
Your answer
Child 4 Grade as of Sept 2018
Your answer
Child 4 School
Your answer
Child 5 Name
Your answer
Child 5 Grade as of Sept 2018
Your answer
Child 5 School
Your answer
Please list additional children in the space below
Your answer
Please add any comments that would be helpful for the youth staff to know (i.e. allergies, etc.)
Your answer
Lower Merion Synagogue Vaccine Policy
Children who attend ongoing programs at Lower Merion Synagogue must be immunized except when due to a documented medical issue. By signing below, I certify that all of my children are fully vaccinated according to their pediatrician's recommended vaccine schedule. If they are not fully vaccinated due to a documented medical issue, I will provide a letter from my child's pediatrician.
By checking below, I acknowledge and agree to the above-stated vaccine policy. *
Required
Please type your full name below to sign this form *
Your answer
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