Waterpark (Copy) — Kollel of Houston

UPON submitting this form you are giving your daughter(s) permission to join this trip and are releasing Kollel of Houston, Young Israel of Houston & Club Westside from any liability or damage claims. Upon submitting this form You are also verifying that your daughter is a strong swimmer.

Name of adult (if coming)

First Name

Last Name

Girl 1

First Name

Last Name

Girl 2

First Name

Last Name

Girl 3

First Name

Last Name

Email

Phone

(###)

###

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Comments or concerns: