By signing my name above, my child(ren) have permission to participate in the Bet Limmud School at Congregation Bet Shalom.  I hereby authorize the school coordinator to obtain emergency medical care for my child(ren) in the event such care is indicated. I give my permission for my child(ren) to receive emergency medical care by any nurse, doctor, paramedic or member of a medical staff of a hospital licensed by the State of Arizona. I understand that every effort will be made to notify a parent/guardian prior to treatment.

I certify that my child(ren) is(are) in good physical health. They have my permission to participate in all activities that are part of the regular Bet Limmud program.