Kehillat Torah Religious School 2019-2020

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Medical Contacts

Please use separate paragraphs for each child in the fields below.

PLEASE READ CAREFULLY. In order to make our Religious School enrollment more efficient, TBS has created this Universal Permission Form and Release. This form and release allows your child or children to participate fully in all activities of the Temple Beth Shalom Kehillat Torah Religious School (TBS) during the school year. This form and release covers all Religious School activities located on or off the premises of Temple Beth Shalom and the New Albany JCC.

This is an opt-out form. This means that you will have accepted and agreed to the terms of this Universal Permission Form and Release unless you check one or both of the boxes below and sign and return the form to TBS before the first day of Religious School.

By accepting and agreeing to this form and release now (in other words, by not opting-out), you are granting Temple Beth Shalom permission to include your child or children in all Religious School activities without the need for separate permission forms for each activity. You will be informed of all field trips before they occur.

Behavioral Covenant

As a member of the Temple Beth Shalom kehillah (community), your child is expected to consider, while at Religious School and on field trips, the Jewish values of kavod (respect), derech eretz (proper behavior), and tziniyut (modesty and humility), which guide the way we comport ourselves in public and private spaces. Further, lashon hara (“evil speech” such as disparaging remarks), hazing, bullying, cyberbullying, harassment, or discrimination of any sort is contrary to our values and is unacceptable.

Therefore, I and my child acknowledge and agree that my child will abide by all rules, regulations, and directives of TBS and its personnel. I understand that TBS, in its sole discretion, will determine the repercussions for any such violation, which may include removing my child from participating in the activity or prohibiting my child from participating in a future activity.

Field Trip and Emergency Permission Authorization and Release

I give my child permission to attend all field trips sponsored by TBS for the school year. I further understand that transportation for field trips may include walking, charter bus, school bus, van, or car driven by a classmate’s parent or teacher. I understand that there are inherent risks in some of the activities with which my child may be involved. Accordingly, on behalf of myself, my heirs, executors, administrators, and assigns and on behalf of my minor child, and my child’s heirs, executors, administrators, and assigns, I fully release and discharge Temple Beth Shalom, Rabbi Benjy Bar-Lev, Rabbi Lenette Herzog, and Temple Beth Shalom’s trustees, officers, agents, employees, contractors, volunteers, and successors and assigns from any and all liability, actions, causes of actions, debts, claims, judgment, damage, loss, or demand of any kind, including claims for property damage or loss and injuries or deaths of persons, arising directly or indirectly from my child’s participation in these field trips. I further agree that if there is a claim against TBS as a result of my child’s conduct, I will indemnify and hold TBS harmless from any such claim.

In the event of an emergency during a field trip, I give permission to TBS to facilitate proper medical care as it deems reasonably necessary while efforts are made to reach me.

Photo and Video Authorization and Release

I expressly give TBS, including any amateur or professional photographers TBS designates, permission to photograph, video, and audio record my child during Religious School and on field trips. I acknowledge that my child's image may be used in a variety of media – including websites, livestreaming, printed materials, and social media – for any purpose connected with highlighting, marketing, and promoting TBS, its Religious School, and their programs and activities without further compensation to the child, parent, or guardian. No image or recording of your child will be sold to any person or organization for any reason. Further, unless authorized by you, no image or recording will include your child's name(s).

The terms of this Universal Permission Form and Release shall be governed by the laws of Ohio, and any legal action relating to or arising out of it shall be commenced in the Franklin County Court of Common Pleas. This Universal Permission Form and Release is the full document and constitutes the only agreement between you and TBS concerning the matters described above, superseding any prior agreement, written or oral.