EMERGENCY CONTACT and PARENTAL RELEASE FORM
The transfer program is courtesy of the Levine JCC. Not all classes are eligible for transfers. An additional $25 charge may apply for transfers to classes beginning after 3:30pm.
I give the Levine JCC permission to transfer my child(ren) to LJCC programs from the above school/program (CJP, CJDS, J-Team). I will notify the Levine JCC Customer Service Desk regarding each specific transfer request (per child, per class, per session). Upon transfer, the Levine JCC assumes responsibility for supervising your child(ren).
In case of emergency, I give the Levine JCC permission to secure treatment for my child(ren). If possible, the parent or family physician will be contacted first. I give permission for my child(ren) to go swimming and to participate in active sports.