MIDWEST SHVATIM SHABBATON - In Cleveland

October 31 - November 3, 2019 ·  Grade 10 -12

Cost:

Regular price after October 11th - $210

 

 

Participant's Name *
Participant's Name
Participant's Cellphone Number *
Participant's Cellphone Number
Address *
Address
Medical & Dietary Information
Emergency Contact
Emergency Contact Name *
Emergency Contact Name
Cellphone Number *
Cellphone Number
The Shabbaton
I am willing to
My T-shirt size
Do you play Guitar?
Housing
If you are finding your own housing, please provide us with the family name and address.
Consent, Release and Waiver of Liability
By signing below, we confirm to have read all of the information below and consent to all of the foregoing provisions. (Both must be signed).

CONSENT, RELEASE AND WAIVER OF LIABILITY for Bnei Akiva of Toronto trips and overnight retreats, within or outside of Canada, during the academic year 2019-2020 (hereinafter referred to as the “Trips”)

1. Consent
I here grant permission to myself/my child to attend the Trips, as established from time to time by Bnei Akiva of Toronto and communicated to the parents and participants.  In the event that I do not want to grant permission to myself/my child to participate in any specific trip, I agree that I will so advise Bnei Akiva of Toronto in writing no later than one day prior to the commencement of such trip, failing which this Consent, Release and Waiver of Liability will apply to such trip.

2. Acknowledgment and acceptance of risk
I recognize that participation in the Trips is voluntary and that there are certain inherent risks that participants, and their parents on their behalf, voluntarily assume.  I agree that the Bnei Akiva of Toronto, its employees, volunteers, representatives, directors and officers, shall not assume any responsibility for damages to or loss of my/my child’s property, myself/his/her illness, injury, or death while participating in the Trips.  By voluntarily participating in the Trips, I/my child and I freely assume any risk associated with or arising out of the Trips. I further understand and acknowledge that Bnei Akiva of Toronto cannot guarantee that while participating in any aspect of the Trips I/he/she will not come into contact with any allergens. By myself/my child participating in the Trips I/he/she is/am doing so voluntarily and with my express understanding of any potential risks including any associated with allergies my child has.

3. Insurance
I agree that it is my responsibility to ascertain whether I have adequate travel, health and accident coverage for myself/my child and to procure any other insurance coverage as I may deem necessary.

4. Waiver, release, indemnification and hold harmless
I understand and agree that there are unavoidable risks in travel and participation in the Trips.  As such, I do hereby forever and absolutely on behalf of myself/my child, myself, and any heirs, executors and assigns, waive and release any claims against Bnei Akiva of Toronto, its employees, volunteers, representatives, directors and officers, relating to my child’s participation in the Trips, including, but not limited to, claims for any injury, loss, damage or accident, delay or expense resulting from the use of any vehicle, any strikes, war, acts of terrorism, weather, sickness, quarantine, government restrictions or regulations.  I also agree to defend, indemnify and hold harmless, Bnei Akiva of Toronto, its employees, volunteers, representatives, directors and officers, from and against any and all liability, claims, lawsuits, judgments, losses, damages, and expenses, including reasonable attorneys’ fees, arising out of any financial obligations or liabilities that I/my child may personally incur or any damage or injury to his/her person or property or the person or property of others that I/he/she may cause, while participating in the Trips.

5. In the event of an emergency  
The trip chaperones or health care professionals, if any, participating in the Trips have authorization to order medical or surgical treatment deemed necessary for myself/my child.  In the event that I am not available for consultation, and in the event the trip chaperones or their designee determine that is advisable to seek medical attention for myself/my child, I give permission to an authorized representative of Bnei Akiva of Toronto to secure medical and/or surgical treatment for myself/my child.  I will hold Bnei Akiva of Toronto, its employees, volunteers, representatives, directors and officers, harmless from any liability, damages, costs, and expenses arising there from.

6. Severability
I agree that, should any provision or aspect of this Agreement be found to be unenforceable, that all remaining provisions of the Agreement will remain in full force and effect.

7. Governing law
I agree that if there is any dispute concerning myself/my child’s participating in the Trips or the interpretations of this Agreement, any such disagreement shall be determined in accordance with the laws of the Province of Ontario.

8. Entire agreement and modification
The terms and conditions of this Waiver and Release of Liability represent my complete understanding of the parties hereto with regard to myself/my child’s participation in the Trips and supersedes any previous or contemporaneous understandings I may have had with the Institutions on this subject, whether written or oral, and cannot be changed or amended in any way without the written concurrence of both the Institutions and me.


PAYMENT
The cost of the Shabbaton includes meals, transportation and activities. 

Early Bird: $190

Cost after October 11th: $210