JECC/@akiva Combined Release Form For 2020 AntiSemitism: Past, Present, and Creating the Future Learning Sessions


 

    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 in order to participate in the activities associated with this program.

Program: 2020 AntiSemitism: Past, Present, and Creating the Future Learning Sessions 

PART 1 – STATEMENT  OF PERSONAL RESPONSIBILITY

Please read and acknowledge (parents and Students) that you read the below paragraph   

  • The use of any drug, including marijuana, is not permitted with the exception of prescription drugs that have been noted in advance.
  • The use of cigarettes or smoking of any kind, includingVaping, Nargila or Hookah is not permitted.
  • Consumption or purchase of alcoholic beverages is not permitted with the exception of Shabbat Kiddush
  • Students are expected to act respectfully to each member of the group, the Israeli hosts and those of the opposite sex. Sexual activity is not permitted either among or by the participants or when visiting Israelis.
  • The program is a group experience and participants are expected to act in ways that demonstrate respect and tolerance. Each student is expected to participate fully in all activities, cooperating fully at all times with the staff and fellow students, following all instructions, respecting the opinions of others even in disagreement, offering appropriate feedback and personally contributing to the activity.
  • Students must comply with the directives of the group leaders and adhere to all security precautions.
  • Each student will fulfill his or her role as a responsible representative of their people and community and behave in an acceptable and respectable manner at all times.
  • A student who causes any personal or emotional injury or property damage whatsoever is responsible to pay the cost of the damage.
  • Any body piercing or tattooing is strictly prohibited.
  • Students are required to cooperate with curfews as set by the group leader.
  • Failure to comply with any of these guidelines is grounds for expulsion from the program. The expelled student will be sent home at parents’/guardians’ expense and the parent/guardian hereby agrees to pay such expense.

I (Type your name)    and I (Type your name)    have read, understand, and agree to all of the above and will comply with all rules and regulations of that program.

PART 2 – RELEASE FOR USE OF IMAGES (RUI)

   I hereby give my consent to @akiva 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 the JECC and @akiva, with full right of disposition in any manner whatsoever.

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

PART 3 – 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, the undersigned, am either the Participant named above or the parent and/or legal guardian (“Guardian/Parent”) of the minor Participant named above. I am familiar with the curriculum and the activities which take place in the above named course.

TERMS AND CONDITIONS

I will participate or authorize the Participant to participate in the 2020 AntiSemitism: Past, Present, and Creating the Future Learning Sessions. I understand that such participation can include risks that cannot be anticipated, these include illness, injury and in the rarest circumstances, death. Participant or guardian/parent freely and voluntarily participates or allows participation in the program with the knowledge of foreseeable and unforeseeable risks and hereby agrees to assume and accept any and all risk.

WAIVER, RELEASE AND INDEMNIFICATION

Participant or Guardian/Parent of Participant understands and acknowledge that the JEC, Jewish Federation of Cleveland and @akiva is not an insurer of Participant’s behavior, actions or participation in the program and that JEC Jewish Federation of Cleveland and @akiva assumes no liability whatsoever for personal injuries or property damages to Participant or to third persons arising out of Participation in the Program activities. Participant or Guardian/Parent hereby agrees to release, waive, covenant not to sue, indemnify and hold harmless JEC, Jewish Federation of Cleveland and @akiva and all of their officers, 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 any loss, damage, or injury, including death, that may be sustained by Participant or loss or damage to any property belonging to Participant arising out of or related to participation in the above named Program, and excepting only such loss, damage or injury as may be caused by the sole negligence of any Releasee.

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.

PARTICIPANT OR 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 PARTICIPANT OR GUARDIAN/PARENT OF PARTICIPANT AND THE RELEASEES AND SIGNS IT OF HIS OR HER OWN FREE WILL.

   I am signing this Agreement for myself as Participant. I acknowledge that I am eighteen (18) years of age and that I understand the terms of this Agreement. I also acknowledge that this Agreement shall bind my heirs and personal representatives.

Or

   I 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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@akiva https://akivacleveland.org
Signature Certificate
Document name: JECC/@akiva Combined Release Form For 2020 AntiSemitism: Past, Present, and Creating the Future Learning Sessions
Unique Document ID: 6dd210a4f0a76d02a584198862ac41451b925de8
Timestamp Audit
December 13, 2019 11:19 am ESTJECC/@akiva Combined Release Form For 2020 AntiSemitism: Past, Present, and Creating the Future Learning Sessions Uploaded by Amnon Ophir - aophir@jecc.org IP 69.54.57.170
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