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By signing this Waiver and Release of Liability ("Waiver"), I assume all risk of my child and myself participating in the above activity (hereinafter “activity”). Without signing this form, neither myself nor my child will be able to participate in the activity. I acknowledge that the above activity may pose some risk of personal injury and that I undertake and assume this risk for myself and my child.
On behalf of myself and my child, I further waive and release the organizers of the activity, any insuring entity of
the Friends of Israel Scouts, and their respective directors, board members, officers, employees, volunteers,
agents, representatives, or assigns, as well as the activity sponsors, from any and all liability, including, but not
limited to, liability arising from negligence or fault of such entities or persons for any injury or disability which
may occur as a result of my or my child’s participation in the above activity. I am assuming all risks on behalf of
myself and my child that may arise in connection with the activity, including with respect to negligence or
carelessness on the part of any of the persons or entities being released, defective equipment, and real property
or personal property that is owned, maintained or controlled by the above persons.
I certify that my child and myself are physically fit and sufficiently prepared for participation in the activity and
that there are no health-related reasons or issues which would preclude the participation of myself or my child
in the activity. I have not been advised of any reason which would limit my child or myself in participating in the
I understand that I and/or my child may be photographed while participating in the activity. I agree to allow my and my child’s photo, video, or film likeness to be used for any legitimate purpose by the activity holders,
sponsors, producers, and their assigns.
I shall defend, hold harmless, and indemnify the above-referenced released parties from and against all losses,
claims, damages, costs or expenses (including reasonable legal fees, or similar costs) in connection with any
action or claim brought or made (or threatened to be brought or made), for, or on account of any injuries or
damages received or sustained by myself and/or my child arising during the course of the activity.
This Waiver constitutes the sole and only agreement between the parties concerning my child’s and my release
and indemnification as a condition for participating in this activity. Any prior agreements, whether oral or in
writing, shall be void and of no further effect. This Waiver may not be modified.
I certify that I have read this document, and I fully understand its contents. I am aware that this is a release and
indemnification of liability for myself and my child, and I sign it of my own free will.