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6th/7th Mitzvah Scholars Philadelphia Trip
Sunday, May 4, 2025
•
6 Iyyar 5785
8:00 AM - 5:30 PM
Ohr Kodesh parking lot
Register
Mitzvah Scholars Philadelipha Trip
May 4, 2025
Fill out this form to pay for student participation in the Mitzvah Scholars 6th/7th grade day trip to Philadelphia. This form also functions as a parent/guardian consent form and liability wavier.
Please read everything carefully.
Please fill out this form once per student.
Filling out this form confirms that you give permission for your child to participate in and travel with the Mitzvah Scholars trip to Philadelphia on Sunday, May 4, 2025. The group will travel by chartered bus, departing from Ohr Kodesh on the morning of Sunday, May 4 at 8:00 am, and returning at approximately 5:50 pm on Sunday, May 4. The trip will include a visit to the Weitzman Museum of Jewish American History, a walk through historic Philadelphia, and visits to the Liberty bell and Independence Hall. Parents are responsible for timely arrival at Ohr Kodesh.
The cost of this program is underwritten by the Mitzvah Scholars program. The charge to families is $36 per student.
Please log into your OKC account before registering to be able to "bill your account." Otherwise, you will need to pay by credit card and will be assessed a 3% fee.
*
Student Full Name
*
Student Birth Date
Student Email Address
Student Phone Number
*
Parent or Guardian Full Name
*
Parent or Guardian Email Address
*
Parent or Guardian Phone Number
Financial Support
We do not want cost to be an obstacle to participation in this program. Please fill out this form as usual and when prompted, please "Bill to Account," and reach out to Wilhelmina Gottschalk wgottschalk@ohrkodesh.org to request a scholarship. Any scholarships awarded will be applied afterwards. We have limited subsidies available.
Medical Matters
I hereby warrant that to the best of my knowledge, my child is in good health, and I assume all responsibility for the health of my child.
Emergency Medical Treatment
In the event of an emergency, I hereby give permission to transport my child to a hospital for emergency medical or surgical treatment. To the extent possible, I will be advised prior to any further treatment by the hospital or doctor. In the event of an emergency, if you are unable to reach me at the above numbers, contact:
*
Emergency Contact Full Name
*
Relationship to Student
*
Emergency Contact Phone Number
*
Family Doctor
*
Family Health Plan Carrier
*
Policy Number
Please share all medical conditions of which we should be aware here
Accessibility Needs and Allergies
Please include relevant details.
If you need accommodations to participate fully in this program, please contact Wilhelmina Gottschalk at wgottschalk@ohrkodesh.org to schedule a conversation so that we can do our best to meet your needs.
Transportation
The group will travel by chartered bus, departing from Ohr Kodesh on the morning of Sunday, May 4 at 8:00 am, and returning at approximately 5:30 pm on Sunday, May 4. Parents are responsible for timely arrival at Ohr Kodesh.
Food
Please ensure that your child eats a substantial breakfast on Sunday. We will serve snacks later in the day, as well as lunch from
Goldie’s, a vegan kosher restaurant in Philadelphia
.
Note - the question below is no longer relevant, as Goldie's has advised us that their party platters are ideal for serving at the museum.
Please select a lunch option below for your child.
Falafel sandwich
Falafel salad
Classic hummus and tahini platter
My child will bring their own lunch from home.
Chaperone
For the safety of our students, we need a minimum of three parent chaperones to join us on our field trip. Chaperones join without charge and will assist in ensuring the safety and appropriate behavior of the students attending.
Please enter your name in the box below if you are willing to chaperone this trip. In the event that we have more volunteers than slots, we will determine chaperones via lottery.
I grant permission for my child to participate in this field trip event that requires transportation. The activity will take place under the guidance and direction of employees of Ohr Kodesh Congregation.
As parent and/or legal guardian, I remain responsible for any personal actions taken by the above named minor participant. I agree on behalf of myself and my child named herein to hold harmless and defend the Organizer, its
officers
, directors and agents, and any other representatives associated with the event, from actions, claims, demands, damages, costs, expenses and consequential damage arising from or in connection with my child attending the event, or in connection with any illness or injury or cost of medical treatment in connection with the event.
*
I certify that I understand and have read the above carefully.
Please Select One
Yes - I understand and have read the above carefully. My child will participate in the mitzvah scholars program.
No - I do not agree with the language above. My child will not be participating in the competition.
*
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Sun, May 4 2025 6 Iyyar 5785