I, the undersigned, request permission for the above students to participate in the various activities of Machon Micah. I understand the student(s) may take part in Machon Micah activities occurring on its premises, as well as, outside its premises. I know the risks and hazards involved in the said activities, and that anticipated and unexpected injuries may arise during such activities. I assume all risks of injury to the student(s) person and property that may be sustained in connection with these activities. I understand that it is not the function of the Machon Micah, its agents, servants, employees, instructors and officers to guarantee the safety of the participant with respect to these activities. I also understand that the student(s) has the responsibility to exercise due care for all participants safety in the performance of these activities. In consideration of the student(s) being permitted to enroll and participate in these activities, I do hereby release, discharge, indemnify, and hold harmless Machon Micah, its agents, servants, employees, instructors, and officers, and all other participants in the stated activities, of and from all claims, demands, actions, and causes of action of any sort for injuries sustained by the student(s) as a result of or relating to these activities.

I hereby grant Temple Micah permission to use child(ren)'s likeness in a photograph in any and all of its publications, including website entries, without payment or any other consideration. I understand and agree that these materials will become the property of Temple Micah and will not be returned. I hereby irrevocably authorize Temple Micah to edit, alter, copy, exhibit, publish or distribute this photo for purposes of publicizing Temple Micah's programs or for any other lawful purpose. In addition, I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my child(ren)'s likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photograph. I hereby hold harmless and release and forever discharge Temple Micah from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.

I hereby acknowledge that my child(ren) may ride on any bus or in any carpool arranged by Temple Micah. If and when the behavior of my child(ren) becomes too distracting for the others on or the driver of the van, I acknowledge that she or he will be asked to find other transportation. In consideration of the opportunity for my child to participate and fully recognizing that such as undertaking involves an element of risk, we assume all risks and hazards incidental to such participation and do hereby release, absolve, indemnify, and agree to hold harmless Temple Micah, nor any of said persons shall be held financial responsible for any injury, illness or death as a direct or indirect result of this activity.