LoMPTY Outdoor Movie Night

Join LoMPTY for an outdoor movie showing of Toy Story! We're bringing the movie experience outside to the Or Ami parking lot. See your 9th-12th grade friends, relax in your seat, and watch a movie together. Tickets are $10 and include complimentary snacks.

Register below to reserve your seat! You will be sent your movie e-ticket in a confirmation email. Please be prepared to show it when you check in.

Social Distancing Guidelines for Movie Night:

Chairs will be placed 6ft apart in the parking lot (with designated spots marked by a chalk bubble; chairs may not be moved)
Masks must be worn at all times (except when eating)
Attendees must stay in their seats throughout the entire event
Restrooms available in the synagogue (to be used one at a time)

Questions? Contact Assistant LoMPTY Advisor Halle Fromson at halle@orami.org.

Teen Registration

* Teen's First Name:

* Teen's Last Name:

* Email:

So we can send a confirmation email with your movie ticket!

* Cell Number:

So we can text you a reminder and/or any last-minute updates.

* Check this box to reserve your seat for $10!

Check this box to reserve your seat for $10!

Emergency Information

Please fill out the following information in case of emergency.

* Teen's Doctor:

* Doctor's Phone:

* Medical Insurance Provider:

* Name of Subscriber:

* Insurance Policy Number:

Please list any medical conditions, allergies, etc. of teen(s):

* Parent Full Name:

* Parent Cell:

* Parent Email:

* Additional Emergency Contact - Full Name:

* Emergency Contact Cell Phone:

Liability Waiver

Teen's parent/guardian must read and sign the following:

* I/we hereby give permission for my/our teen to participate in Congregation Or Ami's Youth Group Event, and agree to release and hold harmless Congregation Or Ami, its Rabbis, cantor, educators, staff, board members, leaders, and its representatives from all costs, damages, claims, causes of action, losses and liability arising out of or related to my/our teen’s participation in, or transportation to/from/during, this activity. Moreover, I/we hereby assume all risks inherent in or associated with my/our teen’s participation in, or transportation to/from/during, this activity. In the event of an emergency or the sudden illness of my/our teen occurring when I/we cannot be reached, I/we also give my/our consent for my/our above-named teen to be treated by such emergency medical personnel, doctors and/or hospitals, as are selected by Congregation Or Ami. I/we understand that in the event of such emergency, Congregation Or Ami will make reasonable efforts to consult with the physician or medical group named above, but the nature of the emergency may require treatment be undertaken before such consultation is possible. Congregation Or Ami does not accept responsibility of loss, damage to, or theft of the teen’s property. I HAVE READ AND FULLY AGREE TO THE TERMS ABOVE.

My typed name above serves as my signature.

* Date:

Total:

Wed, April 24 2024
16 Nisan 5784

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Wed, April 24 2024 16 Nisan 5784