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  • Emergency File

  • PERMISSION FOR EMERGENCY MEDICAL TREATMENT:

    As the parent(s) or legal guardian, I/we authorize any adult acting on behalf of Chabad of the Beaches to hospitalize or secure treatment for my child. I further agree to pay all charges for that care and/or treatment. It is understood that if time and circumstances reasonably permit, Chabad of the Beaches personnel will try, but are not required, to communicate with me prior to such treatment. I hereby give permission for my child to attend all field trips and outings sponsored by Chabad of the Beaches.

  • Payment Info

  • $725.00
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    Checks should be written out to Chabad of the Beaches and can be mailed to 60 West Beech St. Long Beach, NY 11561
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