Kehillah Kedosha: Middle/High School Leadership Trip - Form - Herzl-Ner Tamid Conservative Congregation

The Kehillah Kedosha Middle and High School Leadership Trip to CSS

The b’nai mitzvah year is an individualized experience. Each student is unique and brings their own set of gifts and talents to the bimah (alter). The trip from August 23-25, 2022 is an ideal opportunity for middle school students to get out of their comfort zones and challenge themselves to exert their greatest potential.

Thanks to the generous support of the Samis Foundation, HNT was able to offer a very reduced price to both HNT students and students of non HNT members.

The effort one puts into the b’nai mitzvah experience brings a great reward of satisfaction and by being immersed in the b’nai mitzvah journey on the trip, students enrich their understanding of the process by working together and bonding as a group. The trip is geared toward sixth through eighth grade students from HNT and beyond. The trip focuses on the b’nai mitzvah journey, both before and after, and how it relates to the coming of age experience on a personal level. For students about to become a b’nai mitzvah and also for students who have already experienced this meaningful rite of passage, this trip is an opportunity to combine Judaism, ecology, and leadership in the beautiful Pacific Northwest. Alumni of the trip who went on the trip in previous years are encouraged to participate again this year to deepen their understanding and experience of leadership and ecology in a Jewish context. The leadership opportunities for all the students on this trip are tremendous. The trip marks a transition in our student’s educational journey and we’re looking forward to your participation!

We will spend the first day white water rafting the Upper Skagit. Here's is our schedule for the first day:

8:00: Meet at HNT
10:30-3:30: White Water Rafting with Water River Guides
3:00: Go to CSS to continue our Adventure!
6:00: Arrive at CSS just in time for dinner

After rafting, we will spend the next two days at CSS working together on the ropes course, enjoying the waterfront, and exploring all that CSS has to offer!

Students in high school are also encouraged to go on this trip to develop their own leadership potential. High school students can acquire 24 hours of volunteer time if they participate as youth leaders in the trip. The cost of the trip is $395 for all students which includes transportation, meals, ropes course experience, lake programming, bicycle riding, and lodging. Refunds will be provided only if we are able to fill your spot. Open to the community!

Drop off is at HNT at 8:00 AM on August 23 and pick up is at HNT on August 25 at 5:00 PM. Please contact Dr. Eliyahu Krigel at eliyahu@h-nt.org for more information about this trip. Contact Merav Canaan at merav@h-nt.org for mitigation.

**Please note that there is a $85 non-refundable fee.**!

If forced to go virtual due to Covid-19, we will still engage in abbreviated online programming during this time period of our scheduled trip. While at CSS we will follow CSS Covid-19 protocols.

Thanks for your participation!

* Student First Name

* Student Last Name

* Student Cell Phone Number

* Parent or Guardian Cell Phone Number

* Parent or Guardian Email Address

* Secular School Attended by Student

* School Grade Level during the 2022-2023 Academic School Year

* I understand that this form will not submit unless I complete payment setup for $395.

I understand that this form will not submit unless I complete payment setup for $395.Note that $85 of your registration fee is non-refundable.

Total

* Photography Agreement: Do you give permission for the Synagogue to use pictures of your student in our marketing materials?

Please Select OneYesNo

* Swimming Agreement: Do you give your permission for your child to swim on the trip?

Please Select OneYesNo

* White Water Rafting Agreement: Do you give your permission for your child to go white water rafting on the trip?

Please Select OneYesNo

* Parent / Guardian Consent Agreement: I am the parent or legal guardian of my child. I consent to any x-ray examination, anesthetic, medical, or surgical diagnosis or treatment and hospital care under the general or special supervision and upon the advice of or to be rendered by a physician and surgeon licensed under the Medical Practice Act for my child. This authority also extends to any x-ray examination, anesthetic, dental, or surgical diagnosis or treatment and hospital care by a dentist licensed under the Dental Practice Act for my child. I further agree to pay all charges for the dental, medical, or hospital care or treatment. As parent or legal guardian of my child, I am responsible for the health care decisions of my child and am authorized to consent to the services to be rendered. I represent that my consent to and agreement to pay for the dental, medical, or hospital care or treatment to be rendered to my child is legally sufficient and that no consent from any other person is required by law.

Please Select OneYesNo

* Please upload a picture of your vaccination card.

* Date of First Covid-19 Vaccination

Date of Second Covid-19 Vaccination (If Pfizer or Moderna)

Date of Booster

If your child is on medication, please fill in the medication information below. By filling in the field below, you are giving your permission for the chaperones on the trip to administer the medication to the student during the trip.

* Insurance Group Number or ID

* Student's Medical/Health Insurance Company

Registration will only submit following payment on the next page.
Please check for a confirmation email after payment is complete.