USY Program RSVP

USY Program RSVP Form

* Name of event

* Date of event

* Child's First Name

* Child's Last Name

Child's Grade

Child's Age

Child's cell phone (if available)

Child's Email Address (if available)

Do you have more than one child attending this event?

* Child's First Name

* Child's Last Name

Child's Grade

Child's Age

Child's cell phone (if available)

Child's Email Address (if available)

* First Name

* Last Name

Mobile Number

* Email

Are you a member of Rodeph Sholom?

NoYes

I am willing to drive other youth group participants

YesNo

* Permission to Attend

By placing my name here permission is hereby granted by the undersigned parent(s) or guardian(s) for my child(ren) to attend the event at Congregation Rodeph Sholom.

I allow my child to be driven by another parent/ licensed Youth Group Member

I allow my child to be driven by another parent/ licensed Youth Group MemberBy checking this box, you are allowing your child to be in a vehicle with another licensed driver. If there are any limitations to who may drive your child, please email Josh Ackman at Youth@rsholom.org

Please contact Josh Ackman with any questions.
Youth@rsholom.org

Sat, September 13 2025 20 Elul 5785