SHIR HADASH PERMISSION FORM FOR FIELD TRIPS - PARENT OR GUARDIAN’S PERMIT AND RELEASE: The child(ren) named above is now under my custody and control. I hereby give my consent for the above named child to participate in theCongregation Shir Hadash trip to the above named event location and on the above named date for this field trip. I understand that Congregation Shir Hadash does not assume any responsibility or liability in case an accident occurs. In consideration of the above named child being permitted to participate in the Field Trip, I, on behalf of my child myself, and my spouse, if any, hereby release Congregation Shir Hadash, its officers, directors, trustees, faculty, agents and employees, together with all persons affiliated with Congregation Shir Hadash, including parents and other volunteers, assisting with any phase of the Field Trip (excluding paid certified carriers), from any and all costs, demands, damages, liability, claims, causes of action, and responsibility of any nature whatsoever in connection with the Field Trip and hereby release all said parties from all costs, demands, damages, liability, claims, causes of action, and responsibility of any nature whatsoever by reason of an accident or injury suffered by said child while on said trip or participating in such activities. I agree to defend, indemnify and hold all said parties harmless from all claims hereafter made by, or asserted on behalf of, the above named child.

PARENT PERMISSION/ MEDICAL RELEASE: My son/daughter has my permission to attend the Congregation Shir Hadash event at the location named above. I hereby give permission to the physician-selected by Congregation Shir Hadash to hospitalize, give  necessary treatment or anesthesia for my child(ren), as named above, in the event I cannot be reached in an emergency.

RELEASE & CONSENT FORM FOR USE OF PHOTOGRAPH: I give unconditional permission to Congregation Shir Hadash to photograph me and/or my child(ren) and use the photographs to publicize Congregation Shir Hadash and its programs and activity in publications, advertisements, web sites or news articles pertaining to Congregation Shir Hadash, without payment or other compensation of any kind. By signing below I certify that I am the parent or guardian of this child(ren) and I do give consent without reservations to the foregoing on behalf of the minor(s) attending this field trip.