Information of parent or guardian submitting this form:
(Children, please have a parent or guardian complete this form for you.)

Information of kids to attend Bar/Bat Mitzvah Club:

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BAR/BAT MITZVAH CLUB AGREEMENT

I agree that my/our child/ren be in photos & video and allow these to be published in any form.
I agree that my child participate in the Bar/Bat Mitzvah Club program and trips and assume all responsibility and risk on my behalf and for my child.
I understand that participating in the program and group trips involves a degree of risk, both anticipated and not anticipated.
I agree to release Bris Avrohom of Fair Lawn from any liability.
I understand that participating in group outings during Covid involves risk of infection, and I assume this risk and release Bris Avrohom of Fair Lawn from liability.
In order to ensure complete safety, children participating in Bar/Bat Mitzvah Club must remain within the group at all times, unless instructed otherwise by an authorized Bar/Bat Mitzvah Club leader/coordinator.
A pleasant atmosphere and proper decorum is integral at all Bar/Bat Mitzvah Club meetings, trips and events, and thus, any conduct or language that expresses disrespect for others will not be tolerated, and the individual/s will be asked to leave.

Medical Release
In case of an emergency, I request that the Bar/Bat Mitzvah Club leader contact me. I hereby consent to the administration of the Bar/Bat Mitzvah Club and Bris Avrohom of Fair Lawn to take whatever medical measures they deem necessary for my child in the event of a medical emergency.

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