Gan Yeladim Registration Form

To print out a copy of the form below, please click here.  Otherwise, please feel free to use the form below. Thank you!

I grant permission for the Gan Yeladim program to provide or arrange for medical treatment and/or transportation to an evacuation site and/or medical facility for my child, during an emergency or disaster. I also grant permission for my child to be released to any of the emergency contacts I have designated if I am unable to pick them up in an emergency.