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No'ar Hadash Midwest Youth Kallah (6th-12th)

Friday, February 14, 2020 19 Shevat 5780

5:00 PM - 6:00 PM 2 days after

Register

On February 14-16, 2020 Shir Hadash’s 6th – 12th graders will once again enjoy a great weekend with youth from Shir Hadash, JRC in Evanston as well as Reconstructionist youth from all around the region including Michigan, Wisconsin, and Indiana. This year’s No’ar Hadash Midwest Youth Kallah (Retreat) will take place at Camp Nageelah in Ingleside, Il.

The kallah programming is created by teens for teens, and the staff is comprised of youth leaders, clergy, educators and other experienced adults. More than fifty teens attended last year’s kallah and we expect at least as many to join us this year for a weekend of fun, discovery, hanging out, playing, and engaging in Jewish activities. This is a great chance to get to know other Shir Hadash students as well as peers from around the region. All of the programming is created and implemented by a committee of student leaders including a number of our Shir Hadash madrichim.

The cost of the weekend is $200/child and includes housing, food, program costs, transportation and perhaps the most important part of the whole weekend, the custom illustrated hoodie sweatshirt. Scholarship money IS available to help offset the cost. Housing is in rooms of bunk beds. Teens and staff walk to the nearby dining hall for delicious meals that include vegetarian options.

Once you register through the ShulCloud form, we will send you the Packing List and any other necessary information for your child to attend Kallah.

We will leave from Shir Hadash by bus on Friday late afternoon (approximately 4 p.m.) and return to Shir Hadash on Sunday early afternoon (approximately 1 p.m.).

Participation Information

Once you select the number of participants the correct form fields will drop down

Participation #1

Last Name, First Name

Medication


If participant (s) will require any medication during the retreat weekend, the enclosed medication form must be completely filled out. Note: Participants will be expected to administer their own medications; staff cannot be responsible for participants’ medications. Nevertheless, it is crucial that we have medication information on file, in case of an emergency. If, upon receipt of the medication form, No’ar Hadash or congregational staff feels it important to deviate from this policy, parent(s) will be contacted to discuss appropriate methods of administration.

Please list any and all medications the participant will take during the course of the weekend. All information on this form will be kept confidential. It is strictly for the benefit of the participant’s health and well being that the information provided below is as honest and as accurate as possible.
Including dosage, how much, frequency, special storage instructions
Example: Claritin, 10 mg, 1 Tablet, Daily as needed for allergies, none

Participation #2

Last Name, First Name

Medication


If participant (s) will require any medication during the retreat weekend, the enclosed medication form must be completely filled out. Note: Participants will be expected to administer their own medications; staff cannot be responsible for participants’ medications. Nevertheless, it is crucial that we have medication information on file, in case of an emergency. If, upon receipt of the medication form, No’ar Hadash or congregational staff feels it important to deviate from this policy, parent(s) will be contacted to discuss appropriate methods of administration.

Please list any and all medications the participant will take during the course of the weekend. All information on this form will be kept confidential. It is strictly for the benefit of the participant’s health and well being that the information provided below is as honest and as accurate as possible.
Including dosage, how much, frequency, special storage instructions
Example: Claritin, 10 mg, 1 Tablet, Daily as needed for allergies, none

Participation #3

Last Name, First Name

Medication


If participant (s) will require any medication during the retreat weekend, the enclosed medication form must be completely filled out. Note: Participants will be expected to administer their own medications; staff cannot be responsible for participants’ medications. Nevertheless, it is crucial that we have medication information on file, in case of an emergency. If, upon receipt of the medication form, No’ar Hadash or congregational staff feels it important to deviate from this policy, parent(s) will be contacted to discuss appropriate methods of administration.

Please list any and all medications the participant will take during the course of the weekend. All information on this form will be kept confidential. It is strictly for the benefit of the participant’s health and well being that the information provided below is as honest and as accurate as possible.
Including dosage, how much, frequency, special storage instructions
Example: Claritin, 10 mg, 1 Tablet, Daily as needed for allergies, none

Family Contact Information

Parent/Guardian #1

Parent/Guardian #2



Alternate Contact (in case parent(s) cannot be reached)

Last Name, First Name

Physician & Insurance Information


Transportation Information


The bus to Kallah will leave from Shir Hadash approximately at 4 pm on Friday afternoon (February 14). The return bus on Sunday will arrive at Shir Hadash at approximately 1:00 pm (Feb 16). 

Cost


The cost of the retreat weekend is $200 per child, which includes housing, food, transportation, program costs, and a sweatshirt. All registration and payment is done through this form. Unfortunately, we cannot accept payment in the office.

After you hit "submit" you will be redirected to our payment page.  

Parental Authorization


I have read and approve of this application in its' entirety. I grant permission for my child to attend the No’ar Hadash Midwest Youth Kallah and release Reconstructing Judaism,  Camp Nageelah,  Shir Hadash Reconstructionist Synagogue Reconstructionist Federation (JRF), No’ar Hadash, and all of their agents, officers, and employees from any liability whatsoever, including personal injury.  In the event that I cannot be reached in an emergency, I hereby give my permission to the physician selected by the No’ar Hadash staff to hospitalize, secure treatment for, and order injections, anesthesia, or surgery for my child as named above.

I acknowledge and agree that No’ar Hadash may use photographs, videotape, audio recordings, and/or written accounts of activities in which my child may appear in the presentation of its program to the community.

Brit Kehillah - Covenant of Community  & Behavior


 

As a participant in No’ar Hadash programs, I understand that I am taking part in the formation of a sacred community.  From the time I leave my home until the time I return at the conclusion of the event, I will participate fully in the entire event and will abide by all rules set by the retreat staff, including but not limited to the following:
 
  • * I will not possess, consume, or distribute tobacco products, alcoholic beverages, or any illegal drug or drug paraphernalia at any time during the event.
  • * I will not engage in inappropriate sexual behavior.
  • * I will not bring or use any weapons or firearms.
  • * I will not drive to, from, or during the event.
  • * I will not commit any illegal act, including vandalism, disturbing the peace, or other inappropriate behavior.
I agree to abide by these rules, as well as any additional ones presented by adult leadership, throughout the event.  I understand that if I break any of these rules there will be consequences which could include payment for damages, probation from future events, or immediate dismissal from the current event at my expense.  By my signature and that of my parent/guardian, I affirm my understanding of the above rules and my promise to follow them, as well as my commitment to building a strong Jewish teen community.
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Wed, February 19 2020 24 Shevat 5780