I hereby give permission,in the event of an emergency, for the Director or the
Teacher at North Shore Community Hebrew School to take whatever steps
maybe necessary for the medical care of my child(ren).
I understand that in order for the  North Shore Community Hebrew School
to assume responsibility for my child,I or the persons whom I have designated
to pick up my child in an emergency.I understand that unless there is a need for
immediate action, the order of the steps taken will follow,but will not be limited
to, the outline below:

1.The parent/ guardian will be called.
2.Note: If the parent/guardian is unavailable,the emergency contact person
designated by the parent/guardian will be called.
3.Child’s physician will be called.
4.If these efforts are unsuccessful the following steps will be taken(order may vary
depending on the situation):
I. Another physician will be called.
II.The child will be taken to the nearest emergency room accompanied by a staff
member.
III An ambulance will be called to take the child to the nearest emergency room
accompanied by a staff member.

I give consent to any emergency facility and physician to administer any necessary
medical treatment to my child as the situation may warrant it.

I give permission to North Suburban Lubavitch Chabad - Central Avenue Synagogue, and those authorized by Chabad, to take photographs and to make recordings of my children and my family, and to use them in original or modified form in all media now or hereafter known, with or without my name or information about me, for the promotion, public education, and/or fundraising activities of North Suburban Lubavitch Chabad - Central Avenue Synagogue.