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Youth Department

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ACKNOWLEDGEMENT AND WAIVER
The undersigned acknowledges that they and his or her child(ren) will be participating in the Congregation Bnai Yeshurun Mommy & Me outdoors at 641 West Englewood Avenue, Teaneck, NJ 07666 (the “CBY Mommy & Me”) and has submitted or is submitting concurrently the registration form for the CBY Mommy & Me.  The undersigned on behalf of himself, herself and family members further acknowledges and assumes all risks associated with their and their child’s or children’s participation in the CBY Mommy & Me, including, without limitation, possible injuries that could occur while participating in the CBY Mommy & Me.  The undersigned further acknowledges the continued presence of the COVID-19 pandemic (the “Pandemic”) and assumes all risk associated with the Pandemic, including, without limitation, the possible dissemination of the Pandemic from other children participating in the CBY Mommy & Me, from group leaders of the CBY Mommy & Me and from other parents.  The undersigned hereby releases Congregation Bnai Yeshurun and its officers, directors, members and employees from and against any and all claims, liabilities, actions and damages that the undersigned or any of the undersigned family members may sustain as a result of the undersigned’s child’s or children’s participation in the CBY Mommy & Me.
By checking the box below I confirm that I have reviewed this
Acknowledgement and Waiver and understand and agree to its terms.
By checking this box I confirm that I have reviewed this Acknowledgement and Waiver and understand and agree to its terms.

 

Tue, March 2 2021 18 Adar 5781