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Youth Programs Discovery Night - Natural Dye Challah Covers
Registration is free. Donations are welcome.
Registrant Information
Salutation
Please select...
Mr.
Ms.
Mrs.
Mx.
Dr.
Prof.
Rabbi
Rabbanit
Cantor
Kohenet
Reverend
First Name
Middle Name
Last Name
Email Address
Birth Year
Zip Code
Optional Demographic Questions
We strive to make our programs as diverse, equitable, and inclusive as possible. Knowing more about you helps us do that. We acknowledge that identity is complex and that your identity may not fit into these categories. The following questions are optional, but strongly encouraged.
How do you identify religiously?
Please select...
Buddhist
Christian
Jewish / Conservative
Jewish / Orthodox
Jewish / Reconstructionist
Jewish / Reform
Jewish / Renewal
Jewish / Secular
Jewish / Traditional Egalitarian
Just Jewish
Muslim
No Religion
Prefer to self-describe
Please describe how you identify religiously
What is your Jewish ethnicity?
Please select...
Ashkenazi
Mizrahi
Sephardi
Prefer to self-describe
Please describe your Jewish ethnicity
What is your gender identity?
Please select...
Man
Woman
Nonbinary
Genderqueer
Prefer to self-describe
Please describe your gender
Which of the following best describes you?
Please select...
American Indian or Alaska Native
Asian or Asian American
Black or African American
Hispanic or Latinx
Middle Eastern or North African
Native Hawaiian or Pacific Islander
White
Prefer to self-describe
Please describe how you identify racially
Child Information
First Name
Middle Name
Last Name
Birth Year
Fall 2026 Grade in School
Please select...
K
1
2
3
4
5
6
7
8
9
10
11
12
Does this child have any siblings who are currently or were previously enrolled in B’hootz, B’naiture, Shomrim, or Neshama Quest?
Yes
No
By registering, you consent to receive program-related emails.
Would you like to be added to the Adamah SF newsletter list?
Yes
Would you like to be added to the general Adamah newsletter list?
Yes
Adamah Photography / Social Media Waiver
There may be photography at this event. We may use photos on our website, in digital promotions, or in print materials. Unless we get your direct consent, we will not use your name along with the photo. If you do not want to be photographed at all, please speak to the lead staff at the event upon your arrival, and take care to not be part of group photos.
I consent to the publicity release above
(for myself and all minors for whom I am registering at this time)
Safety and Liability Waiver
I, the above Participant or parent/guardian of the above Participant, ACKNOWLEDGE that the Participant's choice to participate in the Program is knowing, voluntary, and made for their personal enjoyment. I hereby certify that the Participant is physically fit and capable of participating in this Program and that they do not suffer from any condition, sickness or disease that would impair their ability to participate in the Program or that presents any danger to their wellbeing as the result of such participation. I assume all the foregoing risks and fully accept personal responsibility for all expenses, medical or otherwise, following any such damages, injury, permanent disability or death. I RELEASE and DISCHARGE Adamah and its directors, officers, members, employees, agents, successors and assigns, from and waive any and all liability to myself, heirs and next of kin or any other person, for any and all claims, demands, losses, or damages, including death or damage to property, which, in whole or in part, arise from, relate to or are alleged to arise from or relate to the Program, any and all related events and activities in which the Participant takes part. I recognize that the Participant has an important personal obligation to conduct themselves in a manner compatible with local laws and regulations, and will abide by all such laws, regulations, standards and policies and promise to act responsibly and with respect for persons and property.
I agree to terms of the safety and liability waiver
(for myself and for all minors for whom I am registering at this time)
While this program is free, please consider supporting our work with a tax-deductible donation of $18-72.
Optional donation
Total Amount
Credit Card Information
Card Number
MM
YY
CVV
Billing Street Address
City
State
Zip Code
Country
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