The undersigned represent that I/we am/are the parent(s) or guardian(s) of the identified minor child/children (individually or collectively, “Minor”), the Minor has/have no physical or other condition or impediment which would endanger Minor or others while participating in the (“High Holy Day Youth Program”), and do hereby authorize the Minor’s participation in the “High Holy Day Youth Program.” I/We participate in this event freely and of my/our own accord, and therefore, on behalf of the Minor and myself/ourselves (as well as my/our heirs, executors, administrators and assigns), I/we hereby release, forever discharge, waive, and agree to indemnify, defend and hold harmless Congregation Or Ami (“COA”), its Board Members, Officers, employees and agents (the “COA Parties”), from any and all responsibility or liability for any injury, illness, loss, damage, action or claim of every kind and nature whatsoever, including attorney’s fees and costs, that the Minor or undersigned may incur or that may arise out of or relate to the Minor’s participation in the High Holy Day Youth Program whether as a result of the acts or omissions of the COA Parties or other persons. I/We understand that one parent must be onsite at services whenever the Minor is in the High Holy Day Youth Program.  

Moreover, I/we represent, warrant and agree that COA may livestream, publish and republish images, statements, sounds, photographs and videos taken of me/us and Minor during or in connection with the High Holy Day Youth Program. Said publication may include COA’s Internet livestream, newsletter, website, Facebook, Twitter, Instagram, social media, e-newsletters and other publications, and local and national media as it shall determine. Furthermore, I consent that such images, statements, sounds, photographs and or videos shall be the property of COA, which has the right to duplicate, reproduce and make other uses as COA deems necessary.