icnext Cohort 6 Israel Mission - Release of Images


icnext Cohort 6 Israel Mission

June 10 – 21, 2018

Release of Images

(Parents and Students complete this online form together)

 

I/We hereby grant permission, without reservation, to the Jewish Education Center of Cleveland, Jewish Federation of Cleveland and @akiva, to use /our name and to take and use photographs and/or sound and image recordings (“Image”) of /us and to describe the same for the promotion of goodwill, public education, and/or fund raising activities of Jewish Education Center of Cleveland, Jewish Federation of Cleveland and @akiva, in all forms and media throughout the world. Additionally, I/we release the Jewish Education Center of Cleveland, Jewish Federation of Cleveland and @akiva, its officers, directors, agents, employees, independent contractors, licensees and assigns from all claims that I/we may have for any cause of action arising out of the use of /our name and/or Image and/or description of the same with regard to the above including, without limitation, print advertising, news media usage, audio tape reproduction, posters, flyers, invitations, brochures, displays, banners and digital communications via the Internet or other means.

For the Student:

I (Type your name)  have read this form, notice and release, fully understand its contents. 

For the Parent:

I the undersigned have read this form, notice and release, fully understand its contents. and voluntarily affix my/our signature. A signature from the parent(s)/guardian(s) of each participant is required in order to participate on the trip.

     

Leave this empty:

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Signature Certificate
Document name: icnext Cohort 6 Israel Mission - Release of Images
lock iconUnique Document ID: 325d7246c734226cee37693574eb1dce279da7dd
Timestamp Audit
February 6, 2018 6:35 pm EDTicnext Cohort 6 Israel Mission - Release of Images Uploaded by Amnon Ophir - aophir@jecc.org IP 207.89.32.181