To be completed by the Parent/Legal Guardian of Participant, including any Participant who has attained the age of 18 years of age prior to the commencement of volunteer service if such Participant is a Dependent of such Parent/Legal Guardian:

I hereby give permission for my child, to volunteer in the heart of NJ. While I understand that Jewish Federation in the Heart of NJ strives to maintain a safe environment for its participants, I also understand that there are inherent risks in some of the activities with which my child may be involved.

Accordingly, I agree that the Jewish Federation in the Heart of NJ shall not be legally responsible for my child’s personal health, or any injury of any kind, and I release the Jewish Federation in the Heart of NJ , its partnering agencies, and the staff of any of these organizations from any liability to me or any member of my family, or my property arising from or in connection with volunteering. I also assume the responsibility to inform the Jewish Federation in the Heart of NJ prior to May 1st if my child has any specific medical needs. In the event there is a claim against Jewish Federation in the Heart of NJ as a result of any of my /my child's conduct, I agree to indemnify and hold Jewish Federation in the Heart of NJ harmless from such claim.

I grant Jewish Federation in the Heart of NJ permission to take photographs and video of my child and my property in connection with the above-identified event(s). I agree that the Federation may use such photographs and video of my child with or without their name and for any lawful purpose, including for example purposes such as publicity, illustration, advertising, and web content.

I have read and understand the above.