Bnei Akiva Purim Arcade

March 11, 2017 • Grades 9-12
Until March 6: $30 • After March 6: $40


Participant's Name *
Participant's Name
Parent's cellphone number *
Parent's cellphone number

By clicking "submit", we hereby grant our child permission to attend the Purim Casino. In case of emergency we give permission for the designated First Aid provider to assist our child, and, if necessary, for him/her to be taken to a local doctor or hospital. We understand that any damage our child causes to the facilities around him/her or to property of others falls under our responsibility to replace and repair. We understand that Bnei Akiva is not responsible for any damage, theft or loss of personal items. We understand that if we withdraw our child from this event with three days’ notice or less, no refund will be given.