Enrollment & Community Membership (8 monthly payments)

In the event that I, or other parent/guardian, cannot be reached in an emergency, I give permission to the Sholem staff to secure proper treatment for my child. If the above physician cannot be reached, I authorize qualified emergency personnel to treat my child. I agree to accept financial responsibility for the costs related to this medical treatment. I acknowledge that it is my responsibility to keep the above information current. I also agree to notify the Sholem School if my child is exposed to any communicable disease.