Combined Release Form For High School Students Who Mentor Students In Grade 3-12


IMPORTANT: THIS IS A LEGAL DOCUMENT, PLEASE READ AND UNDERSTAND

THIS DOCUMENT BEFORE SIGNING

ASSUMPTION OF RISK, WAIVER OF LIABILITY AND INDEMNIFICATION AGREEMENT

This Agreement must be completed to participate in the activities associated with this program.

Participant full name:  

Name of Parent or Guardian:   

Parent or Guardian Email:  

Program: 2020-21 J2Gether: Leadership (Mentorship)

PART 1 – RELEASE FOR USE OF IMAGES (RUI)

I (Name of Parent or Guardian)  hereby give my consent to @akiva and The Jewish Education Center of Cleveland (JEC) to photograph, film, videotape and then use, reproduce, and publish said images of me and/or my child/children.

I agree that photographs/negatives, film, or videotapes thereof shall constitute the sole property of @akiva and the JEC, with full right of disposition in any manner whatsoever.

I hereby release @akiva, The Jewish Education Center of Cleveland (JEC), and Jewish Federation of Cleveland from any and all claims whatsoever in connection with the use, reproduction, publication of the images thereof.

 

PART 2 – ASSUMPTION OF RISK, WAIVER OF LIABILITY AND INDEMNIFICATION AGREEMENT

IMPORTANT: THIS IS A LEGAL DOCUMENT, PLEASE READ AND UNDERSTAND THIS DOCUMENT BEFORE SIGNING

This Agreement must be completed in order to participate in the activities associated with this program.

I (Name of Parent or Guardian)   the undersigned, am the parent and/or legal guardian of the minor Participant (“Guardian/Parent”) named above. I am familiar with the curriculum and the activities which take place in the above named course.

TERMS AND CONDITIONS

I authorize my child to participate in the 2020-21 J2Gether: Leadership (Mentorship) Program, sponsored by @akiva and The Jewish Education Center of Cleveland (the JEC). I understand that such participation can include both online and in-person meetings and activities, and that my child will be working with students in grades 3 – 12. I also understand that as a result of such participation the Participant may be subject to various foreseeable and unforeseeable risks. Guardian/parent freely voluntarily allows participation in the program with the knowledge of foreseeable and unforeseeable risks and hereby agrees to assume and accept any and all risk. I am familiar with the curriculum and the activities as described in the program information, which may take place in the above-named Program, and agree to abide by the Terms and Conditions set forth below.

WAIVER, RELEASE AND INDEMNIFICATION

Guardian/Parent of Participant understands and acknowledges that @akiva, JEC and Jewish Federation of Cleveland is not an insurer of any Participant’s behavior or actions. @akiva, Jewish Education Center of Cleveland, (JEC) and Jewish Federation of Cleveland assume no liability whatsoever for personal injuries or property damages sustained by the Participant, or to third persons, arising out of Participation in the Program activities. Guardian/Parent of Participant under the age of 18 hereby agrees to release, waive, and hold harmless @akiva, the  JEC, Jewish Federation of Cleveland, and all of their Officers, Directors, Trustees, employees and agents (collectively the “Releasees”) from any and all liability, claims, demands, actions and causes of action whatsoever arising out of, or related to participation in the above described program. Furthermore, Parent/Guardian agree to indemnify @akiva, the JEC, Jewish Federation of Cleveland, and all of their Officers, Directors, employees and agents, against any claim made against any of them, for any actions or conduct of the Participant.

ON MY BEHALF AND ON BEHALF OF MY CHILD, I FURTHER COVENANT AND AGREE NOT TO SUE THE RELEASED PARTIES FOR ANY CLAIMS OR DAMAGES ARISING FROM MY/MY CHILD’S PARTICIPATION IN THE ACTIVITIES OR ARISING OUT OF OTHER RISKS.

If any portion of this Agreement is held to be invalid by a court of law, then it is agreed and intended that all the remainder shall, notwithstanding, continue in full force and effect.

 GUARDIAN/PARENT OF PARTICIPANT HAS CAREFULLY READ THESE TERMS AND FULLY UNDERSTANDS THEIR CONTENT AND IS AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN GUARDIAN/PARENT OF PARTICIPANT AND THE RELEASEES AND SIGNS IT OF HIS OR HER OWN FREE WILL.

 

I (Name of Parent or Guardian)  am signing this Agreement on behalf of a minor Participant. I acknowledge that I am the Guardian/Parent of the Participant and that I understand the terms of this Agreement. I also acknowledge that these terms shall bind my heirs and personal representatives and the heirs and personal representatives of Participant.

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Document name: Combined Release Form For High School Students Who Mentor Students In Grade 3-12
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July 30, 2020 2:40 pm EDTCombined Release Form For High School Students Who Mentor Students In Grade 3-12 Uploaded by Amnon Ophir - aophir@jecc.org IP 107.207.104.73