Please verify reCaptcha before submitting the form.
The undersigned acknowledges that an online signature will, for all purposes, be treated as an original.
I authorize future communications via mail, email, text and phone for the purposes of transactional communications as well as marketing communications for this and other URJ/NFTY/NFTYx programs. Please know that we do not sell or market email addresses. If you do not wish to receive further communications from the URJ and URJ affiliates you will be able to opt out at the time of receipt.
I authorize the use of Participant name, social media user information, and contact information for purposes of URJ and URJ partners/affiliates marketing now known or hereafter devised, worldwide in perpetuity until such time that I choose to unsubscribe.
I consent to the recording, use and reuse by the Union for Reform Judaism (“URJ”) and any of its respective licensees, assignees, parents, subsidiaries or affiliated entities and each of the respective employees, agents, officers and directors (collectively “Releasees”) of the Participant’s voice, actions, likeness, name, appearance and biographical material (i.e. collectively “Likeness”) in any and all media now known or hereafter devised, worldwide in perpetuity. I agrees that Releasees may use all or any part of their Likeness, and may alter or modify it regardless of whether or not the attendee is recognizable. I further agree that Releasees may use the Participants Likeness and the Materials in connection with any promotion, publicity, marketing or advertisement for the Releasees. I releases Releasees from any and all liability arising out of their use of the Participant’s Likeness and/or the Materials. I agrees not to make any claim against Releasees as a result of the recording or use of the Partcipant’s Likeness and/or the Materials (including, without limitation, any claim that such use invades any right of privacy and/or publicity).
By signing below, parent or guardian on behalf of each Participant and all parties responsible for Participant, confirms that they have read and understood the NFTY B’rit Kehillah, and the rules including those on disciplinary action and indemnification expressly provided immediately above, and agree with all provisions contained herein.
Authorizations: Participant’s Parent/Guardian gives permission to Temple Beth Or to provide routine health care and seek emergency medical treatment including but not limited to ordering x-rays and routine tests. Participant’s Parent/Guardian gives permission for Temple Beth Or to release any of Participant’s records necessary for insurance purposes. • In case of Participant’s medical emergency, the participant’s Parent/Guardian hereby gives permission to the physician selected by Temple Beth Or to hospitalize, secure proper treatment for, and to order injection, anesthesia, or surgery for Participant, as named above. Information may be printed/photocopied for access in an emergency involving Participant. Indemnification: Except with the respect to the sole negligence of the Temple Beth Or and its employees, the undersigned Participant’s Parent/Guardian hereby release, discharge, and hold harmless Temple Beth Or and their employees from any and all claims, lawsuits, or other legal causes of action, which relate to the undersigned Participant’s participation in a Temple Beth Or Program, and the Participant’s travel to and from Temple Beth Or, such events and programs, and related activities
Terms and Conditions Agreement: The below Terms and Conditions between Temple Beth Or and my child (hereafter “Participant”) represent the expectations and agreements in order to participate in a Temple Beth Or-sponsored activity:
In the mutual interests of Temple Beth Or, the Participant, and for the well-being of all participants at Temple Beth Or, I understand, respect and will observe the rules, regulations and policies of Temple Beth Or, which have been developed for the benefit of all participants including Participant to strengthen the Temple Beth Or program and enhance the experience for all participants. As parent/guardian of Participant, I agree to the implementation and enforcement of the following rules, regulations and policies for Temple Beth Or program
Fri, April 19 2024 11 Nisan 5784
#extraORdinary
#TBORaleigh