Liability Waiver

Release and Waiver of Liability Form

Jewish Federation of Greater Philadelphia and the Kiaserman JCC

This Release and Waiver of Liability (the "release") executed on the following date:(Required)

By (name below) release the Kaiserman JCC / Jewish Federation of Greater Philadelphia ("Kaiserman JCC / Jewish Federation") and each of its successors, assigns, directors, officers, employees and agents.(Required)

First Last

Now therefore, for good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the parties hereby agree as follows:

I desire to visit the Kaiserman JCC and engage in appropriate activities. I understand that I am responsible for my own insurance coverage in the event of personal injury or illness as a result of activities held at the Kaiserman JCC.

By signing below, I express my understanding and intent to enter into this Release and Waiver of Liability willingly and voluntarily(Required)

First Last

Today's Date(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

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Liability Waiver

Release and Waiver of Liability Form

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