SOUTH DAKOTA JEWISH CENTER ALEVY CHABAD HOUSE
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Allergy Care Plan for Gan Early Learning Center and JUDA Enrichment
*
Indicates required field
Name
*
First
Last
Date of Birth
*
Food Allergies
*
YES
NO
Please list all foods your child is allergic to
*
Other allergies or medical conditions:
*
Please detail any cross contamination issues we should be aware of
*
Please list any precautions needed (such as needing to eat in a separate room)
*
Medication
*
Epipen
Other Medication
Epipen or other medication needs refrigeration?
Please detail symtoms to look out for
*
Actions to take
*
Name of Medication
*
Dosage
*
To be administered when...
*
By submitting this form you are giving permission to Chabad Jewish Center of South Dakota staff to administer the above medications to your child when necessary.
Submit
About
About Us
Rabbi Mendel and Mussie
In The News
Join
Events
Holidays
>
HamantashBake
Purim
Give and Get Shabbat
Chanukah
>
Sioux Falls Menorah Lighting
Menorah at Mount Rushmore
Menorah at the Capitol
Ellsworth Air Force Base Lighting
Shabbat Kit To Go
Simchat Torah
Sukkah On Wheels
Sukkot
High Holidays
Shavuot
>
FAQs
Lag Ba'Omer
Passover
Education & Sharing Day
Mini Purim Celebration
Shofar Workshop
Shabbat Candle Lighting
Cremation or Burial?
Past Present Future
Rebbe
Never Forget Never Again
American and Jewish Book Event
Kosher BLT
Women's Circle
>
Shavuot Cooking Zoom
Smoothies and Self Defense
Shabbat in an Hour
Decor & Desserts
Challah Bake
Tu Bishvat - Ladies Night Out
Shabbat
Rabbi's Blog
Adult Education
Tanya Class
Torah On Tuesdays
Rapid City
Zoom
Youth
JUDA
>
Aleph Champ
Gan Preschool and Day Care
Mommy and Me
Bat Mitzvah
Bar Mitzvah
Kosher
Kosher Initiative
Visitors
Students
Photos
Donate
Donate
Chai Club
Planned Giving
Jewish Art Calendar
Donate Your Car
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